后巩膜切开治疗青光眼滤过术后超声乳化继发性-第三军医大学学报.DOC

后巩膜切开治疗青光眼滤过术后超声乳化继发性脉络膜脱离 修改稿 黄旭 禤中宁 唐寅 （广西壮族自治区南宁市红十字会医院眼科，南宁 530012） 摘要: 目的 探讨后巩膜切开在抗青光眼术后超声乳化继发性脉络膜脱离的治疗效果。方法 对已行复合小梁切除术的原发性慢性闭角型青光眼患者15例15眼，实施后巩膜切开治疗白内障超声乳化吸出术后继发性脉络膜脱离。结果 术后随访6个月，15眼脉络膜均达到解剖复位，术前最佳矫正视力（BCVA）为0.149±0.19，术后6个月时最佳矫正视力为0.586±0.226；术前前房中央深度（ACD）为0.50±0.075mm，术后前房深度为2.59±0.04；术前眼压（IOP）为8.85±1.58mmHg，术后眼压为9.21±1.09 mmHg；术前后BCVA、ACD比较差异有非常显著统计学意义（p0.01），术前后IOP比较差异无统计学意义p0.05）。结论 后巩膜切开能够及时引流抗青光眼超声乳化术后脉络膜上腔积液，恢复前房角正常结构，稳定眼压，保护视功能的目的，是安全有效的手术方式。 关键词: 后巩膜切开；超声乳化；脉络膜脱离 Posterior scleralincision for choroid detachment previously treated by phacoemulsification after filtering glaucoma surgery HUANG Xu，Xuan zhong-ning ,Tang Yin (Department of ophthalmology, Red Cross Hospital,Nanning 530012,Guangxi Zhuang Autonomous Region, China) [Abstract] Objective To investigate the teffect of Posterior scleralincision on choroid detachment patients who had performed filtring glaucoma surgery and phacoemulsification . Methods 15 eyes of 15 cases with PACG who had performed filtring surgery for 6 months to 1 year before phacoemulsification . Posterior scleralincision was underwent to cure the secondary choroid detachment due to phacoemulsification . Results The follow-up period was 6 months. all the patients’ choroid were reattached satisfactorily after surgery. The preoperative best corrected visual acuity(BCVA) was 0.149?.19d and postoperative BCVA was 0.586±0.226. The preoperative anterior chamble depth(ACD) was 0.50±0.075mm and postoperative ACD was 2.59±0.04mm .The preoperative IOP was 8.85±1.58mmHg and postoperative IOP was 9.21±1.09mmHg. There was significant difference between pre-operation and pos-operation in BCVA and ACD（p0.01）difference in 作者简介：黄旭（1973--），男，广西壮族自治区南宁市人，研究生学历，主治医师，主要从事眼科内眼疾病特别是青光眼、白内障的研究；发表论文7篇。 Email：Happy xu-666 @163.com 通讯作者：黄旭, 广西南宁市红十字会医院. Email：Happyxu-666@163.com IOP（p0.0）Conclusion this operation can simplify the surgical manipulation and resolve complications related to phacoemulsification through draining the aqu