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目的 比较全视网膜冷凝术 (PRC)联合小梁切除 ,自体巩膜条引流术与前视网膜冷凝术 (ARC)联合小梁切除术对新生血管性青光眼的疗效。方法 42例随机分成A、B两组 ,分别行ARC联合小梁切除术和PRC联合小梁切除、自体巩膜条引流术。结果 术后第 1天 ,B组眼压明显高于A组 ,而术后末期随访B组眼压下降及虹膜新生血管消退均优于A组 (P <0 0 5 )。结论 PRC联合显微小梁切除、自体巩膜条引流术是治疗新生血管性青光眼较理想手术。
Objective To compare the effects of total retinal condensation (PRC) with trabeculectomy, autologous scleral drainage, and preoperative retinal condensation (ARC) combined with trabeculectomy on neovascular glaucoma. Methods Forty-two patients were randomly divided into A and B groups. ARC combined trabeculectomy and PRC combined with trabeculectomy and autologous scleral drainage were performed respectively. Results On the first postoperative day, the intraocular pressure in group B was significantly higher than that in group A, while the decrease of intraocular pressure and the regression of iris neovascularization were better in group B than in group A at the end of follow - up (P <0.05). Conclusions PRC combined with trabeculectomy and autologous scleral drainage is an ideal surgical treatment of neovascular glaucoma.