作者：徐晓红，袁志兰，于焱，计江东
作者单位：（210029）中国江苏省南京市，江苏省人民医院眼科
【摘要】目的:探讨应用复合式小梁切除术治疗慢性闭角型青光眼术后并发症的预防。
方法：总结我院眼科200701/200801应用复合式小梁切除术治疗慢性闭角型青光眼有晶状体眼(198例)的术后并发症情况。
结果：低眼压性浅前房发生3例,高眼压性浅前房1例,术后低眼压2例,术后眼压药物控制不良需二次手术1例。
结论：复合式小梁切除手术是治疗慢性闭角型青光眼的经典手术,不需要特殊设备,不需要特殊技术,但是需要极其精细轻柔的操作,抗代谢药物恰到好处的应用,可降低各种并发症的发生。
【关键词】 复合式小梁切除术 并发症 慢性闭角型青光眼
Analysis of the clinical complications of compound trabeculectomy
XiaoHong Xu, ZhiLan Yuan, Yan Yu, JiangDong Ji
Department of Ophthalmology, Jiangsu Provincial Peoples Hospital, Nanjing 210029, Jiangsu Province, China
Abstract
AIM: To discuss the clinical complications of compound trabeculectomy on chronic angleclosure glaucoma.
METHODS: Totally 198 cases with chronic angleclosure glaucoma combined with phakic eye received compound trabeculectomy in our hospital from January, 2007 to January, 2008. The clinical complications were retrospectively studied.
RESULTS: The complication caused by the unsuccessful operation included Hypotony and flat anterior chamber on 3 cases, elevated intraocular pressure and flat anterior chamber on 1 case, low intraocular pressure on 2 cases, elevated intraocular pressure and need second surgery on 1 case.
CONCLUSION: Characterized by simple, safe, highly effective, and easy to master, compound trabeculectomy is an ideal therapy for chronic angleclosure glaucoma. Careful operation and corrected administration of MMC can decrease most kinds of surgery complications.
KEYWORDS: compound trabeculectomy; complication; chronic angleclosure glaucoma
0引言
青光眼小梁切除术因手术效果肯定,操作简单,无需特殊设备及器械,一直以来被视为治疗闭角型青光眼的经典手术。近年来抗代谢药物在术中的应用,手术方式的改良明显提高了手术成功率,降低了术后并发症。200701/200801我院用复合式小梁切除术治疗慢性闭角型青光眼共198例(212眼) ,效果良好,现将术后并发症分析报告如下。
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