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目的 评价丝裂霉素 C联合 m olteno植入物手术治疗难治性青光眼的疗效。 方法 对 10例 10眼难治性青光眼采用该术式治疗 ,观察手术前后眼压变化 ,术后并发症发生 ,探讨防止并发症产生的方法。 结果 10例 10眼中有 8例 8眼术后眼压控制在 10～ 2 1m m Hg。 2眼分别于术后 2个月和 4个月眼压升高至 2 8.0 mm Hg和30 .4mm Hg,局部应用抗青光眼药物 ,眼压控制在 2 0～ 2 5 mm Hg,手术成功率 80 %。术后早期主要并发症为浅前房 ;远期 1例发生硅胶管裸露 ,入口端阻塞。 结论 该术式治疗难治性青光眼是一种行之有效的方法 ,但需注意术后发生浅前房 ,可采用硅胶管结扎和二期植入手术方法减少浅前房 ,对术后早期因浅前房而导致的硅胶管入口阻塞 ,应尽早处理
Objective To evaluate the efficacy of mitomycin C combined with m olteno implant in the treatment of refractory glaucoma. Methods Ten cases with intractable glaucoma refractory to 10 cases were treated with this technique. Changes of intraocular pressure (IOP) and postoperative complications were observed before and after operation. Methods to prevent the complications were also discussed. Results Eight eyes of 10 cases (10 eyes) had intraocular pressure (IOP) of 10 ~ 21 m Hg after operation. The intraocular pressure was increased to 2 8.0 mm Hg and 30.4 mm Hg at 2 months and 4 months respectively in 2 eyes and anti-glaucoma drug in local application. The intraocular pressure was controlled at 20-25 mm Hg and the success rate was 80 %. Early postoperative complications of shallow anterior chamber; long-term silicone tube exposed in 1 case, the entrance block. Conclusion The surgical treatment of refractory glaucoma is an effective method, but should pay attention to the occurrence of shallow anterior chamber after surgery, silicone tube ligation and second-stage surgery can be used to reduce the shallow anterior chamber, postoperative early Silicone tube entrance blocked by shallow anterior chamber should be dealt with as soon as possible