睫状体光凝术治疗玻璃体切割术后继发青光眼的疗效
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Observation of transscleral cyclophotocoagulation for glaucoma secondary to vitrectomy
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    摘要:

    目的:评估睫状体光凝术治疗玻璃体切割术后(水眼)继发青光眼的安全性和有效性。

    方法:回顾性分析我院2014-10/2016-10收治的玻璃体切割术后(水眼)继发青光眼患者20例20眼的临床资料,对所有患者进行经巩膜睫状体光凝术,术后持续随访3mo,观察术后视力、眼压和并发症情况。

    结果:术后1mo时,9眼眼压控制不佳,4眼再次行睫状体光凝术后3眼眼压降至正常。末次随访时,视力较术前差异无统计学意义(P=0.655); 14眼(70%)患者眼压得到有效控制,眼压(24.6±11.4mmHg)较术前(42.3±5.9mmHg)改善,差异有统计学意义(P<0.05)。术后未出现眼球萎缩、脉络膜上腔出血等严重并发症。

    结论:睫状体光凝术对玻璃体切割术后(水眼)继发青光眼患者是一种安全有效、可重复的手术方式。

    Abstract:

    AIM: To evaluate the clinical efficacy and safety of transscleral cyclophotocoagulation(TSCP)for glaucoma secondary to vitrectomy.

    METHODS: A retrospective review was performed within 20 patients(20 eyes)with glaucoma secondary to vitrectomy underwent TSCP in our hospital from October 2014 to October 2016. The follow-up time was 3mo. The postoperative visual acuity, intraocular pressure(IOP)and complications were observed.

    RESULTS: One month after operation, the postoperative IOP increased in 9 cases. Another 4 eyes were performed TSCP again, and three of them got the normal IOP recovery. At the last follow-up, visual acuity had no significant changes(P=0.655); IOP was effectively controlled in 14(70%)patients. Meanwhile, the mean postoperative IOP(24.6±11.4mmHg)was statistically reduced than the mean preoperative IOP(42.3±5.9mmHg, P<0.05). No serious complications, like hypotony and suprachoroidal hemorrhage, had been observed during 3-month follow-up.

    CONCLUSION: TSCP procedure is a safe, effective, repeatable surgery for patients with glaucoma secondary to vitrectomy.

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谢瞻,孙红,王飞,等.睫状体光凝术治疗玻璃体切割术后继发青光眼的疗效.国际眼科杂志, 2018,18(8):1492-1494.

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  • 收稿日期:2018-03-07
  • 最后修改日期:2018-07-02
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  • 在线发布日期: 2018-07-20
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