[小梁切除术以外的手术治疗先天性青光眼的长期效果]

[Long-term effect of extra-trabeculectomy in treatment of congenital glaucoma].

作者信息

Qiao Z, Li W, Li S, Hu P

机构信息

Department of Ophthalmology, Affiliated Hospital of Shandong Medical University, Jinan 250012.

出版信息

Zhonghua Yan Ke Za Zhi. 1999 Sep;35(5):369-70.

PMID:11835841

Abstract

OBJECTIVE

To assess the long-term effect of extra-trabeculectomy in treatment of congenital glaucoma.

METHODS

29 patients (47 eyes) with congenital glaucoma having undergone extra-trabeculectomy were followed up for over 5 years.

RESULTS

Success rates after single surgery were 70.2% at 6 months, 63.8% at 12 months, 57.5% at 18 months and 55.3% at 24 months. Re-elevation of intraocular pressure (IOP) all happened within 2 years after surgery. 14 eyes underwent second trabeculectomy, and 7 eyes (50.0%) were successful the total success rate was 70.2%. The naked visual acuity of 12 eyes (36.0%) among successful eyes was >or= 0.5. All the diseased eyes were myopic (-0.50 to -25.00 D).

CONCLUSION

Follow-up of trabeculectomy should be emphasized within 2 years after surgery. Ametropic and anisometropic amblyopia should be corrected promptly after surgery.

摘要

目的

评估小梁切除术治疗先天性青光眼的长期效果。

方法

对29例（47只眼）接受小梁切除术的先天性青光眼患者进行了5年以上的随访。

结果

单次手术后6个月的成功率为70.2%，12个月时为63.8%，18个月时为57.5%，24个月时为55.3%。眼压再次升高均发生在术后2年内。14只眼接受了二次小梁切除术，7只眼（50.0%）成功，总成功率为70.2%。成功眼中12只眼（36.0%）的裸眼视力≥0.5。所有患眼均为近视（-0.50至-25.00D）。