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目的研究羊膜应用于小梁切除术的临床疗效。方法将49例(52只眼)采用巩膜瓣下羊膜植入术,术后观察视力、眼压、滤泡及并发症。术后随访(11.6±7.1)个月。结果视力提高15只眼(34.51%),功能性滤泡形成50只眼(96.15%),46只眼(92.00%)眼压8.7~21.87 mm Hg,平均(16.5±5.66)mm Hg,6只眼(11.53%)需联合1种降眼压药物控制眼压,眼压基本稳定。结论羊膜应用于小梁切除术可有效地防止滤过泡的瘢痕组织形成,并能有效的长期保留功能性滤泡。
Objective To study the clinical effect of amniotic membrane in trabeculectomy. Methods Forty-nine eyes (52 eyes) were treated with scleral flap amniotic membrane implantation. Visual acuity, intraocular pressure, follicles and complications were observed after operation. The patients were followed up (11.6 ± 7.1) months. Results Visual acuity was improved in 15 eyes (34.51%), functional follicles in 50 eyes (96.15%), and in 46 eyes (92.00%), intraocular pressure was 8.7-21.87 mm Hg, with an average of (16.5 ± 5.66) mm Hg, Eye (11.53%) need to be combined with an intraocular pressure reducing intraocular pressure drugs, intraocular pressure basically stable. Conclusions The application of amniotic membrane in trabeculectomy can effectively prevent the formation of scar tissue in filtration bleb, and can effectively retain the functional follicles for a long time.