目的:探讨视网膜光凝或视网膜冷凝联合小梁切除术治疗新生血管性青光眼的疗效。方法:新生血管性青光眼64例64眼,首先行视网膜光凝或视网膜冷凝,再行小梁切除术,术后观察视力、眼压、虹膜新生血管、球结膜滤过泡及手术并发症等。结果:术后随访6～12mo,视力均无明显改善,平均眼压自术前47.89±6.74mmHg随访末降至18.41±2.16mmHg,控制在21mmHg以下者53眼(73%)。结论:视网膜光凝或视网膜冷凝联合小梁切除术治疗新生血管性青光眼有较好的长期疗效。

AIM:To explore the efficacy of neovascular glaucoma treated by pan retinal photocoagulation or pan retinal cryotherapy combined with trabeculectomy. METHODS: Sixty-four patients 64 eyes with neovascular glaucoma were first treated by retinal photocoagulation or pan retinal cryotherapy and then trabeculectomy.Postoperative visual acuity, intraocular pressure,iris neovascularization,filtering bleb ,and complications of the surgery were studied.RESULTS: Follow-up visits during the period of 6 to 12 months after the treatment showed that visual acuity did not manifest improvement but mean intraocular pressure dropped from 47.89±6.74mmHg to 18.41±2.16mmHg. The intraocular pressure of 53 eyes was controlled normal,and the success rate was 73%. CONCLUSION: Trabeculectomy combined with pan retinal photocoagulation or pan retinal cryotherapy has better long-term therapeutic efficacy in treating neovascular glaucoma.

R776.6