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   复杂性青光眼 在 眼科与耳鼻咽喉科 分类中 的翻译结果: 查询用时:0.586秒
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  refractory glaucoma
    Clinical effect of glaucoma valve implantation for clinical challenging refractory glaucoma
    复杂性青光眼的减压阀植入术疗效观察
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  refractory glaucoma
    Clinical effect of glaucoma valve implantation for clinical challenging refractory glaucoma
    复杂性青光眼的减压阀植入术疗效观察
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Objective The purpose of this study is to eval uate the effect of drainage implant in complicated glaucomas.Method Thirteen patients have undergone drainage implantation,8 eyes with Ahmed valve implant,5 eyes with Baerveldt implant.Result 3 months after operation,the intraocular pressure(IOP)in 9 eyes(69.23%)was controlled at (1.88±0.73)kPa. There was a marked difference in IOP between pre and post operation, (P < 0.01 ).In 2 eyes(15.38%,IOP>2.80 kPa),IOP was reduced more than 40% compared with...

Objective The purpose of this study is to eval uate the effect of drainage implant in complicated glaucomas.Method Thirteen patients have undergone drainage implantation,8 eyes with Ahmed valve implant,5 eyes with Baerveldt implant.Result 3 months after operation,the intraocular pressure(IOP)in 9 eyes(69.23%)was controlled at (1.88±0.73)kPa. There was a marked difference in IOP between pre and post operation, (P < 0.01 ).In 2 eyes(15.38%,IOP>2.80 kPa),IOP was reduced more than 40% compared with pre operative IOP.Conclusion Despite of the complications not to be ignored,drainage implantation appears to be safe and effective for complicated glaucomas.

目的评价眼内房水引流管植入术治疗复杂性青光眼的疗效。方法对13例复杂性青光眼患者行眼内房水引流管植入术。其中8眼为Ahmed有阀植入物,5眼为Baerveldt无阀植入物。结果术后3个月,9眼(69.23%)眼压控制在(1.88±0.73)kPa,与术前比较,差异有高度显著性(P<0.01);2眼(15.38%)眼压虽仍高于2.80kPa,但较术前降低40%以上。结论尽管存在一些不容忽视的并发症,该手术仍不失为治疗复杂性青光眼的有效方法。

Objective:To evaluate the possibility and effectiveness of treatment of complicated glaucoma with combined operation to provide new technique for the treatment of glaucoma.Methods:10 cases of complicated glaucoma,who lost the opportunity to undergo classic filtering surgery due to the anatomic structure deteriorated of anterior ocular segment and anterior chamber shallow or disappearance resulted from multiple surgical interference and inflammation were...

Objective:To evaluate the possibility and effectiveness of treatment of complicated glaucoma with combined operation to provide new technique for the treatment of glaucoma.Methods:10 cases of complicated glaucoma,who lost the opportunity to undergo classic filtering surgery due to the anatomic structure deteriorated of anterior ocular segment and anterior chamber shallow or disappearance resulted from multiple surgical interference and inflammation were underwent a vitrectomy combined pars plana glaucoma seton implantation.4 cases with cataract and flat anterior chamber underwent lensectomy,vitrectom and pars plana glaucoma seton implantation,2 cases with vitreous haemorrhage underwent vitrectomy and pars plana glaucoma seton implantation,3 cases who had been performed lensectomy and vitrectomy underwent pars plana glaucoma seton implantation.All cases were followed up for 6~21 months.Results:In 6 of the 10 cases,the postoperative IOP were under 21 mmHg(2 79kPa)without any antiglaucoma drugs.In 2 of the 10 cases,the postoperative IOP were under 21 mmHg with topical antiglaucoma drugs.Vision remained stable or improve in 8 patients but deteriorated in one due to delay onset choriodal haemorrhage and in another due to progressive traction retina detachment.Conclusion:Vitrectomy combined with pars plana glaucoma seton implantation provide the possibility of surgical treatment for complicated glaucoma.Combined operation that designed and performed according to the idiographic conditions of patient provide new technique for the complicated glaucoma.

探讨玻璃体切割经睫状体扁平部植入房水引流物联合手术 ,治疗难治性青光眼复杂病例的可能性 ,为这类青光眼的治疗提供新的手段。方法 :对 10例由于多次眼前段手术眼前部球结膜及巩膜组织结构破坏或由于手术、炎症及其他原因导致扁平前房 ,眼前段解剖关系已改变 ,从而失去行传统前路抗青光眼手术机会的复杂性青光眼进行了针对性的联合手术治疗。其中 4例前房消失 ,晶体混浊者接受了晶体咬切、玻璃体切除联合行扁平部房水引流物植入术。2例合并有玻璃体出血者接受了玻璃体切除联合行扁平部房水引流物植入术。3例既往已行晶体摘除及玻璃体切除者则单纯行扁平部房水引流物植入术 ,术后追踪时间为 6~ 2 1月。结果 :术后最后二次的复查结果显示 ,10例病例中有 6例在未用任何抗青光眼药物条件下眼压控制在 2 1mm Hg (2 .793k Pa)以下。另 2例在加用局部抗青光眼药物条件下眼压控制在 2 1mm Hg以下。 8例术后视力保持稳定或提高 ,1例由于迟发性脉络膜上腔出血 ,1例由于牵引性视网膜脱离视力下降或丧失。结论 :玻璃体切除联合经睫状体扁平部房水引流物植入术为难治性青光眼中复杂病例的手术治疗提供了可能。根据患者...

探讨玻璃体切割经睫状体扁平部植入房水引流物联合手术 ,治疗难治性青光眼复杂病例的可能性 ,为这类青光眼的治疗提供新的手段。方法 :对 10例由于多次眼前段手术眼前部球结膜及巩膜组织结构破坏或由于手术、炎症及其他原因导致扁平前房 ,眼前段解剖关系已改变 ,从而失去行传统前路抗青光眼手术机会的复杂性青光眼进行了针对性的联合手术治疗。其中 4例前房消失 ,晶体混浊者接受了晶体咬切、玻璃体切除联合行扁平部房水引流物植入术。2例合并有玻璃体出血者接受了玻璃体切除联合行扁平部房水引流物植入术。3例既往已行晶体摘除及玻璃体切除者则单纯行扁平部房水引流物植入术 ,术后追踪时间为 6~ 2 1月。结果 :术后最后二次的复查结果显示 ,10例病例中有 6例在未用任何抗青光眼药物条件下眼压控制在 2 1mm Hg (2 .793k Pa)以下。另 2例在加用局部抗青光眼药物条件下眼压控制在 2 1mm Hg以下。 8例术后视力保持稳定或提高 ,1例由于迟发性脉络膜上腔出血 ,1例由于牵引性视网膜脱离视力下降或丧失。结论 :玻璃体切除联合经睫状体扁平部房水引流物植入术为难治性青光眼中复杂病例的手术治疗提供了可能。根据患者具体情况针对性的设计及实施联合手术 ,为这类青光眼的治疗提供了新的手段

Objective To study the surgical management in advanced malignent glaucoma.Methods Combined goniosynechialysis,cataract extraction,vitrectomy and anti glaucomatous surgery were performed on 34 eyes from 25 patients in advanced malignent glaucoma.Results The successful rate of chamber formation for the first operation was 91.2%.The mean depth of chamber measured with ultrasound biomicroscope(UBM) increased postoperatively( P<0.0001 ).After operation,the visual acuity of 24 eyes (70.6%) improved,the intraocular...

Objective To study the surgical management in advanced malignent glaucoma.Methods Combined goniosynechialysis,cataract extraction,vitrectomy and anti glaucomatous surgery were performed on 34 eyes from 25 patients in advanced malignent glaucoma.Results The successful rate of chamber formation for the first operation was 91.2%.The mean depth of chamber measured with ultrasound biomicroscope(UBM) increased postoperatively( P<0.0001 ).After operation,the visual acuity of 24 eyes (70.6%) improved,the intraocular pressure decreased obviously ( P<0.0001 ),the rate of corneal endothelium loss was 25.8%,the grade of cell hexagonality increased by 39.3%.There were no statistical difference for the corneal transparency before and after operation.Conclusion Advanced malignent glaucoma is the refractory and complicate malignant glaucoma with many pathogenetic mechanisms,for which the multiple surgery is the most effective treatment at present.

目的 探讨恶性青光眼晚期的手术治疗方法。方法 对恶性青光眼晚期 2 5例 (34眼 )作房角分离前房形成联合白内障摘出术、玻璃体手术及抗青光眼术四联手术治疗。结果 前房形成 1次性成功率为 91 2 %。超声生物显微镜示术后前房深度较术前明显加深 (P <0 .0 0 0 1)。术后 2 4眼 (70 6 % )视力提高 ;眼压明显降低 (P <0 .0 0 0 1) ;角膜内皮细胞损失率为 2 5 8% ;六角形内皮细胞出现率增加 39 3 %。角膜透明度术前后差异无显著性意义 (P =0 .10 31)。结论 恶性青光眼晚期为多种机制混合存在的难治性、复杂性青光眼 ,多种联合手术是目前最有效的治疗方法

 
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