论文部分内容阅读
目的探讨青光眼小梁切除引起并发症的相关因素及其预防措施。方法回顾性分析我院１９９４年９月～１９９４年１２月住院行眼小梁切除术的连续病人５０例共６４只眼，其中３２只眼进行了较长期随访，观察眼压、视力、晶状体和滤枕形态，平均随访期为３５．５７月结果近期手术成功率９３．７５％。随着随访时间延长，不加药物控制眼压的有效率降低至４６．８７％，加用眼药后有效率为９６．８８％。术后前房延缓形成的发生率为４０．６２％，大多因滤过过畅及脉络膜脱离引起。前房积血的发生率为７．８１％。结论１．前房延缓形成与结膜瓣切口类型无关，与术前眼压控制程度有关。２．术后眼压能否长期控制与术前用抗青光眼药物及眼压控制状况有关。３．服压的控制与滤枕的形态有关。
Objective To investigate the related factors and preventive measures of complications caused by trabeculectomy in glaucoma. Methods A retrospective analysis of our hospital from September 1994 to December 1994 hospitalized trabeculectomy in 50 consecutive patients with a total of 64 eyes, 32 of them were followed up for a longer period of time, observed intraocular pressure, visual acuity, lens and Filter pillow morphology, the average follow-up period of 35.57 months the results of the recent surgical success rate of 93.75%. With the extension of follow-up, the effective rate of intraocular pressure without drugs was reduced to 46.87%, and the effective rate was 96.88% after adding ophthalmic drugs. Postoperative anterior chamber delayed the formation of the incidence of 40.62%, mostly due to filtration and choroidal detachment caused. The incidence of anterior chamber hemorrhage was 7.81%. Conclusion 1. Delay in the formation of anterior chamber and conjunctival incision type has nothing to do with the preoperative control of intraocular pressure. 2. Postoperative intraocular pressure can long-term control and preoperative use of anti-glaucoma drugs and intraocular pressure control status. 3. Pressure control and filter pillow shape related.