论文部分内容阅读
目的报道30例(31眼)青光眼滤过手术失败后再次显微小梁切除手术的治疗体会。方法回顾性分析2003年1月至2005年12月30例(31眼)青光眼滤过手术失败的因素、再次小梁切除手术的方法技巧及其临床效果。结果滤过泡瘢痕化是初次手术失败的最主要原因。患者术前眼压(30．39±16．95)mm Hg,经个体化的再次手术治疗,滤过泡形成良好,眼压显著降低。术后第1天眼压(11．87±12．73)mm Hg,第7天眼压(8．33±4．96)mm Hg。结论根据患者术眼具体情况而设计的个体化再次小梁显著切除手术,效果显著,可安全、有效地降低眼压。
Objective To report the results of microsurgical trabeculectomy in 30 cases (31 eyes) of glaucoma after filtration failure. Methods From January 2003 to December 2005, 30 cases (31 eyes) of glaucoma were retrospectively analyzed. The methods of trabeculectomy and its clinical effect were retrospectively analyzed. Results Bleb scarring was the leading cause of initial surgery failure. The preoperative intraocular pressure (30.39 ± 16.95) mm Hg, the individual re-operation after surgery, the formation of good bleb, intraocular pressure was significantly reduced. The intraocular pressure (11.87 ± 12.73) mm Hg on the first postoperative day and the intraocular pressure on the seventh day (8.33 ± 4.96) mm Hg. Conclusion According to the specific conditions of patients with eye surgery and individual re-trabecular significant resection surgery, the effect is significant, safe and effective in reducing intraocular pressure.