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青光眼滤过手术中基于角膜缘与基于穹窿部的结膜瓣

Limbus-based versus fornix-based conjunctival flap in glaucoma filtering surgery.

作者信息

Brincker P, Kessing S V

机构信息

University Eye Department, Rigshospitalet, Copenhagen, Denmark.

出版信息

Acta Ophthalmol (Copenh). 1992 Oct;70(5):641-4. doi: 10.1111/j.1755-3768.1992.tb02146.x.

Abstract

Eighteen consecutive patients suffering from the same type of glaucoma in both eyes were treated with bilateral trabeculectomy. Surgery with both fornix-based and limbus-based flap was performed on each patient, one procedure in each eye. Pre- and postoperative intraocular pressure, morphology of the fistulation bleb, anterior chamber depth and need for additional treatment were recorded. Half a year after surgery, the fornix-based flap procedure was superior (p < 0.05) concerning high success rate, little additional therapy and good morphology of the bleb.

摘要

18例双眼患有同类型青光眼的患者接受了双侧小梁切除术。对每位患者的每只眼睛分别进行了基于穹窿和基于角膜缘的瓣手术。记录术前和术后的眼压、造瘘泡的形态、前房深度以及额外治疗的需求。术后半年,基于穹窿的瓣手术在成功率高、额外治疗少和造瘘泡形态良好方面更具优势(p<0.05)。

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