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目的 评价巩膜层间填充硅胶片治疗难治性青光眼的效果 ,探讨术后并发症及预防。方法 采用巩膜层间填充硅胶片治疗难治性青光眼共 34例 35眼 ,并根据不同病因及眼压控制情况 ,采取相应的辅助治疗。术后追踪随访 10～ 30月。结果 术后平均眼压 15 88mmHg ,眼压≤ 2 0 5 5mmHg者占 88 5 %。术后早期常见并发症有浅前房、短暂性前房积血及葡萄膜炎等。远期偶有滤过泡较隆起引起异物感 ,少数有白内障加速发展。结论 巩膜层间填充硅胶片 ,经济、简便、远期效果好 ,是治疗难治性青光眼的一种有效方法。
Objective To evaluate the effect of scleralfill silicone film in the treatment of refractory glaucoma and to explore the postoperative complications and prevention. Methods A total of 34 eyes of 34 patients with refractory glaucoma were treated with scleral intercalary silica gel filling. Corresponding adjuvant therapy was given according to the different causes and the control of intraocular pressure. Postoperative follow-up 10 to 30 months. Results The average postoperative IOP was 15 88 mmHg, while the intraocular pressure was less than 205 mm Hg 88 5%. Common postoperative complications are shallow anterior chamber, transient anterior chamber hemorrhage and uveitis. Long-term occasional filtration bleb caused more foreign body sensation, a few have accelerated the development of cataracts. Conclusion It is an economical, simple and long-term effect to fill the scleral layer of silica gel and is an effective method to treat refractory glaucoma.