Sears J E, Capone A, Aaberg T M, January B
Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Am J Ophthalmol. 1998 Nov;126(5):723-5. doi: 10.1016/s0002-9394(98)00184-6.
To investigate the efficacy of ciliary body endophotocoagulation during pars plana vitrectomy in eyes of pediatric patients with medically uncontrolled glaucoma.
We compared preoperative and postoperative intraocular pressure and visual acuity in five eyes of five patients aged between 10 months and 14.5 years who had 180 degrees of ciliary body endophotocoagulation with pars plana vitrectomy.
Preoperative intraocular pressure on medical therapy for glaucoma ranged from 30 to 55 mm Hg (median, 35 mm Hg). Postoperative follow-up ranged from 12 to 24 months, with a median of 16 months. Postoperative intraocular pressure on medical therapy ranged from 12 to 35 mm Hg (median, 25 mm Hg) at 6 weeks, from 12 to 33 mm Hg (median, 29 mm Hg) at 6 months, and from 12 to 29 mm Hg (median, 27 mm Hg) at 12 months. Twelve months after surgery, mean intraocular pressure reduction of 20 mm Hg was statistically significant (P = .020).
Ciliary body endophotocoagulation during pars plana vitrectomy may be an effective treatment for pediatric patients with simultaneous uncontrolled glaucoma and vitreoretinal disorders.
探讨在儿童药物治疗无法控制的青光眼患者行玻璃体切除术中睫状体光凝术的疗效。
我们比较了5例年龄在10个月至14.5岁之间的患者的5只眼睛，这些眼睛在玻璃体切除术中接受了180度睫状体光凝术，比较了术前和术后的眼压及视力。
青光眼药物治疗的术前眼压范围为30至55毫米汞柱（中位数为35毫米汞柱）。术后随访时间为12至24个月，中位数为16个月。药物治疗的术后眼压在6周时为12至35毫米汞柱（中位数为25毫米汞柱），6个月时为12至33毫米汞柱（中位数为29毫米汞柱），12个月时为12至29毫米汞柱（中位数为27毫米汞柱）。术后12个月，平均眼压降低20毫米汞柱，具有统计学意义（P = 0.020）。
玻璃体切除术中的睫状体光凝术可能是治疗同时患有无法控制的青光眼和玻璃体视网膜疾病的儿童患者的有效方法。
