Cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma

中华眼外伤职业眼病杂志 Pub Date : 2019-11-25 DOI:10.3760/CMA.J.ISSN.2095-1477.2019.11.010

Zhengru Huang

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引用次数: 1

Abstract

Objective To evaluate the efficacy of cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma. Methods The clinical data of 31 eyes of 31 cases with refractory glaucoma from Jan. 2017 to Apr. 2018 in this hospital were analyzed retrospectively. All patients underwent cyclophotocoagulation under operating microscopy via pars plana. The follow-up time was 12 months at least. Results Preoperative intraocular pressure (IOP) was (34.8±8.5) mmHg (1 mmHg=0.133 kPa). Postoperative IOP at 1 day, 7 days, 1, 6 and 12 months were (18.5±6.3) mmHg, (17.1±3.7) mmHg, (16.4±2.7) mmHg, (16.2±2.9) mmHg and (16.2±3.2) mmHg, respectively. The difference were statistically significant between before and after operation (P=0.000). The success rate of surgery at the end of follow-up was 74.2%. Postoperative ultrasonic biomicroscopy showed the complete atrophy of ciliary body in the cyclophotocoagulation sites. Conclusion Cyclophotocoagulation under operating microscopy was effective and safe for the treatment of refractory glaucoma. Key words: Glaucoma, refractory; Cyclophotocoagulation, under operating microscopy

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手术显微镜下光凝治疗难治性青光眼

目的评价手术显微镜下光凝治疗难治性青光眼的疗效。方法回顾性分析我院2017年1月~ 2018年4月收治的31例难治性青光眼患者31只眼的临床资料。所有患者均在手术显微镜下经平面部行光凝治疗。随访时间至少为12个月。结果术前眼压(IOP)为(34.8±8.5)mmHg (1 mmHg=0.133 kPa)。术后1天、7天、1、6、12个月IOP分别为(18.5±6.3)mmHg、(17.1±3.7)mmHg、(16.4±2.7)mmHg、(16.2±2.9)mmHg和(16.2±3.2)mmHg。手术前后差异有统计学意义(P=0.000)。随访结束时手术成功率为74.2%。术后超声生物显微镜检查显示睫状体光凝部位完全萎缩。结论手术显微镜下光凝治疗难治性青光眼安全有效。关键词:青光眼;难治性;操作显微镜下的光凝

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