山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (4): 58-61.

• 论文 • 上一篇    下一篇

小梁切除联合睫状体冷冻术与单纯睫状体冷冻术治疗绝对期新生血管性青光眼的效果比较

聂巧莉1,2,陶远2,吴欣怡1,郭百灵2   

  1. 1.山东大学齐鲁医院眼科, 济南  250012; 2.济南市第二人民医院眼科, 济南 250001
  • 收稿日期:2010-04-30 修回日期:2010-05-06 出版日期:2010-08-16 发布日期:2010-08-16
  • 通讯作者: 吴欣怡(1956- ),女,博士,教授,博士生导师,主要从事角膜病、青光眼研究。 Email:xywu8868@163.com
  • 作者简介:聂巧莉(1979- ),女,医师,主要从事青光眼、白内障研究。Email:nieqiaoli@sohu.com

Comparison between combined therapy of trabeculectomy with cyclocryotherapy and single therapy of cyclocryotherapy for neovascular glaucoma

NIE Qiao-li1,2,  TAO Yuan2, WU Xin-yi1, GUO Bai-ling 2   

  1. 1. Department of Ophthalmology, Qilu  Hospital of Shandong University, Jinan 250012,  China;
    2. Department of Ophthalmology, Jinan 2nd People′s Hospital, Jinan 250001, China
  • Received:2010-04-30 Revised:2010-05-06 Online:2010-08-16 Published:2010-08-16

摘要:

目的    比较小梁切除联合睫状体冷冻术与单纯睫状体冷冻术对绝对期新生血管性青光眼的治疗效果。方法    回顾性分析绝对期新生血管性青光眼32眼,随机分成两组,分别行单纯睫状体冷冻术或小梁切除联合睫状体冷冻术。观察术后眼压、前房反应及疼痛程度。结果    术后短期内行单纯睫状体冷冻术组平均眼压明显高于联合组,疼痛程度亦较重,但是前房反应较轻。远期效果两组在眼压、前房反应、疼痛程度等观察指标上无明显差异。结论    小梁切除联合睫状体冷冻术治疗绝对期新生血管性青光眼,术后降压效果明显,疼痛程度轻,疗效较单纯睫状体冷冻术好。

关键词: 新生血管性青光眼;小梁切除术;睫状体冷冻术

Abstract:

Objective    To compare the combined therapy of trabeculectomy with cyclocryotherapy and the single therapy of cyclocryotherapy for neovascular glaucoma. Methods    32 cases of neovascular glaucoma were retrospectively analyzed and randomly divided into two groups:  the cyclocryotherapy group was  treated with cyclocryotherapy, and the combination group with trabeculectomy and cyclocryotherapy. The intraocular pressure (IOP),  anterior chamber reaction and pain intensity were carefully observed after surgery. Results    In the short term after surgery, the average IOP was higher, pain was acuter,and anterior chamber reaction was milder in the cyclocryotherapy group than in the combination group. However, there were no apparent differences in the above three indicators between the two groups during the longterm observation. Conclusion    In the treatment of neovascular glaucoma, the combined therapy of trabeculectomy with cyclocryotherapy can effectively reduce the postoperative IOP and alleviate pain, and thus achieve better therapeutic effect than the single therapy of cyclocryotherapy.

Key words: Neovascular glaucoma; Trabeculectomy; Cyclocryotherapy

中图分类号: 

  • R775.3
[1] 丁凤奎1,苏万远2,李巧云1,李传宝2. 复合小梁切除术治疗前葡萄炎继发青光眼[J]. 山东大学耳鼻喉眼学报, 2011, 25(5): 105-.
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