目的:探讨独眼青光眼患者选择不同手术方法的临床效果。方法:对68例独眼青光眼实施手术治疗,46例行可调节缝线小梁切除术(28例术中加用丝裂霉素),3例行YAG激光虹膜周边切除术,12例行白内障超声乳化加人工晶状体植入手术,7例行白内障超声乳化人工晶状体植入+小梁切除三联手术。观察术后3mo的视力、眼压;观察术中、术后并发症发生情况。随访3～24mo。结果:术后3mo,视力较术前下降者6眼,不变者40眼,提高者22眼。平均眼压14.2mmHg。术后观察期内发生3例眼压升高需使用降眼压药物者,手术完全成功率为96%。术后并发症:发生浅前房3眼,3～8d内恢复。脉络膜脱离1眼,3～7d内恢复。前房少量出血5眼,1～3d内全部吸收。无眼内炎及视网膜脱离等严重并发症。结论:对于独眼青光眼患者,只要采取认真负责的态度,充分做好各种准备,手术治疗是安全和有效的,但对术者的技术及心理素质要求较高。

AIM:To investigate the safety and efficacy of operation for unique eye glaucoma.METHODS:Sixty-eight cases of unique eye glaucoma were retrospectively analyzed,which underwent operation.The intraocular pressure(IOP),visual acuity,complications and surgery outcome of the groups were analyzed.The postoperative follow-up lasted for 3 to 24 months.RESULTS:The mean IOP after the operation was 14.2mmHg.No severe complications such as choroidal hemorrhage and malignant glaucoma were observed in all cases during surgery and postoperatively.The rate of flat anterior chamber was low.CONCLUSION:Eye condition of unique eye glaucoma patients is changeable.Individual operation plan should be settled according to specific circumstance.Operation used to treat unique eye glaucoma is safe and effective.

R779.6