论文部分内容阅读
目的小梁切除术在眼外伤致继发性青光眼(SG)患者治疗中的临床效果。方法选取南昌市第三医院2012年8月—2015年10月收治的眼外伤所致SG患者50例,按照治疗方法分为对照组和研究组,各25例。对照组患者采用周边虹膜切除术,研究组患者采用小梁切除术。随访1个月,比较两组患者治疗前后眼压、裸眼视力,比较两组患者最佳矫正视力改善情况及并发症发生情况。结果治疗前,两组患者眼压、裸眼视力比较,差异无统计学意义(P>0.05);治疗后,研究组患者眼压低于对照组,裸眼视力高于对照组(P<0.05)。研究组患者最佳矫正视力改善总有效率高于对照组(P<0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论采用小梁切除术治疗眼外伤致SG可有效降低患者眼压、提高视力,明显改善患者最佳矫正视力,且安全可靠。
Objective To evaluate the clinical effect of trabeculectomy in the treatment of patients with secondary glaucoma (SG) caused by ocular trauma. Methods Fifty patients with SG caused by traumatic eye injury in the Third Hospital of Nanchang from August 2012 to October 2015 were divided into control group and study group, with 25 cases in each group. Patients in the control group were treated with peripheral iridectomy and in the study group were treated with trabeculectomy. The patients were followed up for 1 month. The intraocular pressure (IOP) and uncorrected visual acuity (UCVA) were compared between the two groups before and after treatment. The best corrected visual acuity improvement and complications were compared between the two groups. Results Before treatment, there was no significant difference in IOP and uncorrected visual acuity between the two groups (P> 0.05). After treatment, the intraocular pressure in the study group was lower than that in the control group, and the visual acuity in the uncorrected eyes was higher than that in the control group (P <0.05). The study group patients with best corrected visual acuity improved total effective rate was higher than the control group (P <0.05). There was no significant difference in complication rates between the two groups (P> 0.05). Conclusion Trabeculectomy for the treatment of ocular trauma caused by SG can effectively reduce the intraocular pressure in patients with elevated visual acuity, significantly improved patients with best corrected visual acuity, and safe and reliable.