新生血管性青光眼的手术疗效观察

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目的探讨睫状体冷术联合小梁切除术治疗新生血管性青光眼(neovascular glaucoma,NVG)的治疗效果。方法采用睫状体冷冻术联合小梁切除术治疗20例(20眼),观察术后眼压、视力及并发症等。结果手术成功17眼(85%),17眼眼压从术前平均57.23mmHg降至22.56mmHg。术后视力:无光感4眼,光感8眼,数指3眼,0.01~0.05者4眼,0.1者1眼。11眼(55%)无变化,9眼(45%)视力有所提高。结论采用睫状体冷凝联合小梁切除术治疗NVG,既眼压降低显著(P<0.01),又改善了视网膜缺血、缺氧状态,对保护患者残存视力,特别降低眼压、维持眼压稳定有明确效果,不失为治疗新生血管性青光眼的有效方法之一。 Objective To investigate the therapeutic effect of ciliary body cold combined with trabeculectomy on neovascular glaucoma (NVG). Methods 20 cases (20 eyes) were treated with ciliary body cryosurgery and trabeculectomy. The intraocular pressure, visual acuity and complications were observed. Results The operation was successful in 17 eyes (85%). Intraocular pressure decreased from 57.23mmHg to 22.56mmHg in 17 eyes. Postoperative visual acuity: no light perception in 4 eyes, light perception in 8 eyes, the number refers to 3 eyes, 0.01 ~ 0.05 in 4 eyes, 0.1 eyes in 1 eye. No change was seen in 11 eyes (55%), and visual acuity was improved in 9 eyes (45%). Conclusion The ciliary body condensation combined with trabeculectomy in the treatment of NVG, both intraocular pressure decreased significantly (P <0.01), but also improve retinal ischemia and hypoxia, to protect patients with residual vision, in particular, reduce intraocular pressure, maintain intraocular pressure Stable with a clear effect, after all, one of the effective ways to treat neovascular glaucoma.
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