虹膜角膜内皮综合征继发青光眼的手术治疗——附12例报告

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目的:分析治疗虹膜角膜内皮综合征(ICE综合征)继发青光眼的手术方法,以提高远期的手术成功率。方法:对ICE综合征继发青光眼的12例病人均采用滤过性手术治疗,其中7例行复合式小梁切除术,5例行前房引流管植入术,术后随诊观察眼压情况。结果:经过6~30个月的随访。术后二个月时,眼压低于2.8kPa者10例,总成功率为83%;术后6个月以上,眼压低于2.8kPa者8例,成功率为75%,术后并发症为短暂性前房出血、浅前房、脉络膜脱离。结论:尽管复合式小梁切除术及前房引流管植入术出现一些不可避免的并发症,但仍为ICE综合症继发青光眼的有效治疗方法。 Objective: To analyze the surgical methods for the treatment of glaucoma secondary to iris corneal endothelium syndrome (ICE syndrome) in order to improve the success rate of long-term surgery. Methods: Twelve patients with glaucoma secondary to ICE syndrome were treated by filtration surgery. Among them, 7 were performed trabeculectomy combined with anterior chamber drainage in 5 patients. The intraocular pressure Happening. Results: After 6 to 30 months of follow-up. At 2 months after operation, intraocular pressure was lower than 2.8kPa in 10 cases, the total success rate was 83%; postoperative more than 6 months, IOP was lower than 2.8kPa in 8 cases, the success rate was 75%, postoperative complications Symptoms of transient anterior chamber bleeding, shallow anterior chamber, choroidal detachment. CONCLUSIONS: Despite the unavoidable complications of combined trabeculectomy and anterior drainage catheterization, they are still an effective treatment for secondary glaucoma in ICE.
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