目的:调查玻璃体切割术联合透明质酸钠植入术治疗开角型青光眼的临床效果,为合理选择手术方法提供参考。方法:开角型青光眼600例600眼根据入院顺序平分为两组,治疗组与对照组各300例,治疗组行玻璃体切割术联合透明质酸钠植入术,对照组采用玻璃体切割联合小梁切除术。结果:治疗后两组裸眼视力明显提高,治疗组视力改变更好(P＜0.05)。两组眼压经过治疗后有明显下降,治疗组在术后各个时间点的眼压都好于对照组(P＜0.05)。两组术后前房丁达尔征、前房积血和低眼压性黄斑病变发生率对比,均无明显差异(P＞0.05)。结论:玻璃体切割术联合透明质酸钠植入术治疗开角型青光眼能降眼压,视力恢复好,术后并发症少,值得推广应用。

AIM:To survey the effects of of vitrectomy combined with sodium hyaluronate implantation for the treatment of open angle glaucoma and to provide a reference for the reasonable choice of surgical methods.METHODS:Totally 600 cases (600 eyes) with open angle glaucoma were equally divided into two groups based on order of hospitalization. The treatment group were given vitrectomy combined with sodium hyaluronate implantation, the control group used vitrectomy combined with trabeculectomy.RESULTS:After treatment, uncorrected visual acuity of the two groups improved significantly, and the changes of the treatment group was better (P＜0.05). Intraocular pressure (IOP) of the two groups after treatment were decreased. IOP of the treatment group in each time point were better than the control group after surgery (P＜0.05). The incidence of postoperative anterior chamber Tyndall syndrome, hyphema and the hypotony-related macular degeneration compared had no significant difference (P＞0.05).CONCLUSION:Vitrectomy combined with sodium hyaluronate implantation for the treatment of open angle glaucoma can decrease postoperative IOP, has good visual recovery and fewer complications which should be widely applied.