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小梁切除术的术中及术后并发症,临床研究。

Intraoperative and postoperative complications in trabeculectomy, Clinical study.

作者信息

Ramona Barac, Monica Pop, Paul-Eduard Stanciu, Speranta Schmitzer, Calin-Petru Tataru

机构信息

Department of Ophthalmology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Emergency Eye Hospital, Bucharest, Romania.

出版信息

Rom J Ophthalmol. 2015 Oct-Dec;59(4):243-247.

Abstract

Glaucoma represents a progresive multifactorial optic neuropathy characterised by retinal ganglion cell loss and atrophy of the optic nerve its main cause being high intraocular pressure. [,] Trabeculectomy is the most used surgical method when it comes to the majority of the ophthalmologists which is why knowing and managing the intraoperative and postoperative complications well is very important. [] .The study aims to establish the success rate and to evaluate the intraoperative and postoperative complications in a group of 75 patients with glaucoma 1 year after surgery. A retrospective study was made on a group of 75 adult patients with different types of glaucoma which were refractory to medical treatment, for whom the treatment option was the trabeculectomy surgical intervention . The success rate measured 1 year after the surgery was of 89%.The most complications were found in patients with open angle glaucoma, neovascular glaucoma and glaucoma secondary to vitreo-retinal surgery. Trabeculectomy is a surgical procedure associated with numerous complications, so much so that the follow-up and the management of the aforementioned complications are sometimes more laborious than the surgery itself.

摘要

青光眼是一种进行性多因素视神经病变,其特征为视网膜神经节细胞丢失和视神经萎缩,主要病因是高眼压。对于大多数眼科医生来说,小梁切除术是最常用的手术方法,因此,充分了解并妥善处理术中及术后并发症非常重要。本研究旨在确定一组75例青光眼患者术后1年的成功率,并评估其术中及术后并发症。对一组75例不同类型的青光眼成年患者进行了回顾性研究,这些患者药物治疗无效,治疗选择为小梁切除术。术后1年测得的成功率为89%。开角型青光眼、新生血管性青光眼和玻璃体视网膜手术后继发性青光眼患者出现的并发症最多。小梁切除术是一种伴有众多并发症的外科手术,以至于对上述并发症的随访和处理有时比手术本身更为繁琐。

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本文引用的文献

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