杜素强，夏光辉，许玮琳，李秋果
作者单位:(461300)中国河南省扶沟县人民医院眼科
作者简介：杜素强，大学本科，主治医师，眼科主任。
通讯作者:杜素强. [email protected]
收稿日期：2006-12-28    修回日期：2007-02-28
Complicated glaucoma treated by trabeculectomy and transplanted amnion conserved in glycerine under scleral flap
Su-Qiang Du, Guang-Hui Xia, Wei-Lin Xu, Qiu-Guo Li
Department of Ophthalmology, People's Hospital of Fugou Country, Fugou 461300, Henan Province, China
Correspondence to: Su-Qiang Du. Department of Ophthalmology, People's Hospital of Fugou Country, Fugou 461300, Henan Province, China. [email protected]
Received: 2006-12-28    Accepted: 2007-02-28
Abstract
· AIM: To study the clinical effect of trabeculectomy and transplanted amnion conserved in glycerine under scleral flap on complicated glaucoma.
· METHODS: Twelve patients (17 eyes) with complicated glaucoma were administrated trabeculectomy and transplanted amnion conserved in glycerine under scleral flap.
· RECULTS: After 6-24 months follow-up, the intra-ocular tension of 12 eyes (88%) were controlled well, and the rate of functional bulb form was 88％ with no manifest severe complications. The operation on two neovascular glaucoma patients was failed because the intraocular tension rised again at 2 and 3 months after operation.
· CONCLUSION: The intra-ocular tension after trabeculectomy and transplanted amnion conserved in glycerine under scleral flap was controlled well, and functional bulb formed well. So it is an original and effective operation to treat complicated glaucoma.
· KEYWORDS: complicated glaucoma; amnion conserved in glycerine; transplantion; trabeculectomy
Du SQ, Xia GH, Xu WL, Li QG. Complicated glaucoma treated by trabeculectomy and transplanted amnion conserved in glycerine under scleral flap. Int J Ophthalmol (Guoji Yanke Zazhi) ,2007;7(2):569-570
摘要
目的：探讨小梁切除联合巩膜瓣下甘油保存羊膜植入治疗难治性青光眼的临床疗效。
方法：对完成随访观察的12例（17眼）难治性青光眼患者施行小梁切除联合巩膜瓣下甘油保存羊膜植入。
结果：术后随访6～24mo，88%的患者眼压得到良好控制，功能性滤过泡形成率为88%，无明显严重并发症发生；2例新生血管性青光眼分别于术后2,3mo眼压复升，手术失败。
结论：小梁切除联合巩膜瓣下甘油保存羊膜植入手术，功能性滤过泡形成良好，眼压控制满意，可作为治疗难治性青光眼一种新的、有效的尝试术式。
关键词：难治性青光眼；甘油保存羊膜；移植；小梁切除术
杜素强,夏光辉,许玮琳,李秋果.小梁切除联合巩膜瓣下甘油保存羊膜植入治疗难治性青光眼.国际眼科杂志,2007;7(2):569-570

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