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[摘要]
目的:评价小梁切除术联合巩膜反折术治疗新生血管性青光眼的临床疗效。 方法:回顾48例48眼小梁切除联合巩膜条反折进入前房引流治疗新生血管性青光眼的病例。观察术后视力、眼压、前房、出血、虹膜新生血管及滤过情况。 结果:术后6~12mo,40例眼压控制在21mmHg以下,6例症状缓解,加用盐酸卡替洛尔滴眼液治疗后眼压控制在21mmHg以下。 结论:小梁切除联合巩膜条反折术治疗新生血管性青光眼疗效理想。
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[Abstract]
AIM:To evaluate the clinical effect of trabeculectomy combined with sclera flap invagination in the treatment of neovascular glaucoma(NVG). METHODS:Forty-eight cases (48 eyes) with neovascularization were performed trabeculectomy combined with sclera flap invagination .The visual acuity, intraocular pressure (IOP), anterior chamber (angle of anterior chamber), hyphema, iris neovascularization and filtering bleb after operation were observed. All patients were followed up for 6-12 months. RESULTS:About 6-12 months after operation, IOP were controlled in less than 21mmHg in 40 cases.Symptoms of 6 cases were alleviated, and the IOP were controlled in less than 21mmHg with treatment of carteolol hydrochloride eye drops. CONCLUSION:Trabeculectomy combined with sclera flap invagination is an ideal treatment for NVG.
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