[关键词]
[摘要]
目的：分析小梁切除术联合内巩膜切除治疗青光眼的远期效果及早期并发症。
方法：对青光眼患者102例122眼行小梁切除术联合内巩膜切除，对术后早期前房深度、术后眼压及术后远期滤过泡形态进行回顾性分析。
结果：术后第1、3、6d，分别发生浅前房50.8%、44.3%、4.1%； 术后随访12mo，眼压控制正常率为89.3%，术后功能性滤过泡占86.9%。
结论：小梁切除术联合内巩膜切除是一种治疗青光眼的有效方法，治疗效果优于传统小梁切除术，虽然术后早期浅前房发生率偏高，但进行适当处理后对手术后远期效果并无影响。
[Key word]
[Abstract]
AIM: To analyze the long term effection and early complications of inner-scleral and trabeculectomy in the treatment of glaucoma.
METHODS: A retrospective analysis was made in the anterior chamber depth, postoperative intraocular pressure(IOP)and long term filtering bleb after trabeculectomy in 122 eyes of 102 patients with glaucoma.
RESULTS: After 1, 3 and 6d, the shallow anterior chamber was 50.8%, 44.3% and 4.1%, respectively. The postoperative follow-up was 12mo, the normal rate of IOP control was 89.3%, and postoperative functional filtering bleb was 86.9%.
CONCLUSION: Inner-scleral and trabeculectomy is an effective method for the treatment of glaucoma, the effection was better than traditional trabeculectomy. Although early postoperative shallow anterior chamber occurred rate is highly, but proper treatment to the long-term effect of surgery have no influence.
[中图分类号]
[基金项目]
重庆市卫计委科研计划面上项目(No.2015MSXM130)
