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[摘要]
目的：对比两种不同方法治疗新生血管性青光眼(NVG)的疗效。
方法：根据患者不同手术方法，将32例32眼NVG患者分为两组，A组14例14眼行青光眼阀联合视网膜光凝术，B组18例18眼行小梁切除联合生物羊膜移植联合视网膜光凝术。
结果：患者出院6mo平均眼压：A组为12.15±5.47mmHg，手术成功率85.7%； B组为14.32±4.75mmHg，手术成功率83.3%。
结论：两种方法均能不同程度降低眼压，两者手术成功率比较无明显差异。但对NVG患者来说，小梁切除联合生物羊膜移植联合视网膜光凝术是一种更为经济的方法。
[Key word]
[Abstract]
AIM: To compare the efficacy of two different treatment methods for neovascular glaucoma(NVG).
METHODS: According to the different surgical treatments, divide 32 NVG patients(32 eyes)into two groups: Group A 14 patients(14 eyes)were treated with Ahmed glaucoma valve implantation and panretinal photocoagulation(PRP); Group B 18 patients(18 eyes)with trabeculectomy and amnion transplantation and panretinal photocoagulation(PRP).
RESULTS: The mean intraocular pressure(IOP)in patients discharged after six months: Group A, was 12.15±5.47mmHg, surgical success rate was 85.7%; Group B, was 14.32±4.75mmHg, surgical success rate was 83.3%.
CONCLUSION: The two methods can both reduce IOP on different levels. There is no obvious difference between their surgical success rates. But for NVG patients, it is more economic to be treated with trabeculectomy and amnion transplantation and panretinal photocoagulation(PRP).
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