| 谭钢，邵毅，喻小龙，王艳，邓吕红，刘二华.颞侧“W”形切口联合冷冻干燥羊膜在残余性青光眼的疗效观察.[J].中南医学科学杂志.,2011,39(4):410-412. |
| 颞侧“W”形切口联合冷冻干燥羊膜在残余性青光眼的疗效观察 |
| Clinical Effects of Temporal Incision of “W” Form Combined with Freeze-dried Amniotic Membrane in Vestigial Glaucoma |
| 投稿时间：2011-03-11 |
| DOI： |
| 中文关键词: 冷冻干燥羊膜 残余性青光眼 颞侧手术 “W”形切口 |
| 英文关键词:freeze-dried amniotic membrane vestigial glaucoma temporal incision incision of “W” form |
| 基金项目:湖南省科技计划项目资助（2010FJ4135）. |
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| 中文摘要: |
| 目的评价“W”型切口联合冷冻干燥羊膜在残余性青光眼的临床效果。方法采用随机对照的方法，将40例(40眼)残余性青光眼分为实验组和对照组各20例(20眼)，实验组行颞侧“W”形切口联合冷冻干燥羊膜手术，对照组行颞侧常规复合小梁切除手术，随访6～12月。对比观察两组间视力、角膜术源性散光、眼压、滤过泡、手术成功率及术后并发症等。结果实验组与对照组在功能性滤过泡的累积存活率、手术成功率、术后视力改善、术后并发症差异无显著性；两组形成的术源性散光，滤过泡差异有显著性。结论颞侧“W”形切口联合冷冻干燥羊膜治疗残余性青光眼，是一种理想的手术方式。 |
| 英文摘要: |
| ObjectiveTo evaluate the clinical effects of a novel surgery in vestigial glaucoma that use temporal incision of “W” form combined with freeze-dried amniotic membrane.MethodsTwenty patients (20 eyes) with vestigial glaucoma treated with a second surgery.We made an anti superciliary arch sclera incision about 5 mm at half past ten behind corneal limbus,and prolonged the sclera incision to corneal limbus to form a sclera flap with “W” shape.Freeze-dried amniotic membrane was used to wrap the sclera flap to prevent hyperplasia of scar tissues.ResultsIn the average follow-up period of more than 6 months,all the patients kept the same or increased visual acuity.Astigmatism induced by surgery gradually decreased in 3 months postoperatively.Average intraocular pressure decreased from 29.6 mmHg preoperatively to 18.9 mmHg postoperatively,success rate of this surgery was 85%.There were 19 functioning blebs (95%) under the slit lamp microscope,and among these functioning blebs,the number of Ⅰ and Ⅱ bleb were 17 eyes and 2 eyes respectively.ConclusionsTemporal incision of “W” form combined with freeze-dried amniotic membrane can perfectly reduce intraocular pressure and prevent postoperative complications in vestigial glaucoma patients. |
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