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粘弹性增强小梁切除术：一种新的概念。

Viscoelastic-augmented trabeculectomy: A newer concept.

作者信息

Solanki Meghna, Kumar Ankur, Upadhyay Anubhav, Kumar Kishor

机构信息

Department of Ophthalmology, SMS Medical College, Anand Eye Hospital, Jaipur, Rajasthan, India.

出版信息

Indian J Ophthalmol. 2017 Aug;65(8):705-711. doi: 10.4103/ijo.IJO_162_17.

DOI:10.4103/ijo.IJO_162_17
PMID:28820156
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5598181/
Abstract

PURPOSE

Comparison of conventional trabeculectomy (CT) and viscoelastic-augmented trabeculectomy (VAT) in primary open-angle glaucoma.

METHODS

A total of 65 primary open-angle glaucoma cases were taken for each of the two groups, i.e., CT and VAT. Viscoelastic-augmented trabeculectomy constituted lamellar scleral flap, deep scleral flap, penetrating trabeculectomy, peripheral iridectomy, filling of the anterior chamber with viscoelastic (sodium hyaluronate) and balanced salt solution, movement of visco in bleb, and tight flap closure. Success criteria included intraocular pressure (IOP) <14 mmHg with no devastating complications. P < 0.05 was considered statistically significant.

RESULTS

Mean IOP was significantly lower after VAT compared to CT at 6 weeks, 12 weeks, and 6 months postoperatively. Target IOP was achieved in 60% cases in VAT group compared to 36.92% in CT group.

CONCLUSION

VAT is effective in reducing IOP to the target level for advanced glaucoma with lower postoperative complications.

摘要

目的

比较传统小梁切除术（CT）和粘弹性增强小梁切除术（VAT）治疗原发性开角型青光眼的效果。

方法

两组各选取65例原发性开角型青光眼患者，分别行CT和VAT手术。粘弹性增强小梁切除术包括制作板层巩膜瓣、深层巩膜瓣、穿透性小梁切除术、周边虹膜切除术、向前房注入粘弹性物质（透明质酸钠）和平衡盐溶液、使粘弹剂在滤过泡内移动以及紧密缝合巩膜瓣。成功标准为眼压（IOP）<14 mmHg且无严重并发症。P<0.05被认为具有统计学意义。

结果

术后6周、12周和6个月时，VAT组的平均眼压显著低于CT组。VAT组60%的患者达到目标眼压，而CT组为36.92%。

结论

VAT能有效将晚期青光眼的眼压降至目标水平，且术后并发症较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/5badaf8d9253/IJO-65-705-g021.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/755e6c086aa6/IJO-65-705-g015.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/5badaf8d9253/IJO-65-705-g021.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/a5994eb6bd2e/IJO-65-705-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/251eb767f69c/IJO-65-705-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/ca77d2839b44/IJO-65-705-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/2cf33d4036fc/IJO-65-705-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/06fad2a5520e/IJO-65-705-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/d1ff453d4455/IJO-65-705-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/cbd31aae589d/IJO-65-705-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/755e6c086aa6/IJO-65-705-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/12b6de240c6f/IJO-65-705-g020.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab77/5598181/5badaf8d9253/IJO-65-705-g021.jpg

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