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目的探讨房角虹膜前粘连分离术治疗闭角型青光眼的临床效果。方法 9例(9只眼)闭角型青光眼行房角虹膜前粘连分离术,观察术后眼压、房角及并发症的情况。随访时间6周至4个月。结果 9例(9只眼)术前平均眼压(39.44±12.86)mm Hg,至最后1次随访,术后平均眼压(13.33±1.80)mm Hg,与术前相比明显降低,差异有统计学意义(P<0.01)。超声生物显微镜(UBM)检查示:术后房角大部分或全开放。并发症:3例发生前房出血渗出,逐渐吸收,无浅前房、脉络膜脱离等并发症。结论对于闭角型青光眼,房角虹膜前粘连分离术疗效确切,具有较好的临床应用价值。
Objective To investigate the clinical effect of anterior chamber iris adhesion in the treatment of angle-closure glaucoma. Methods Nine patients (9 eyes) with angle - closure glaucoma underwent anterior chamber iris adhesion, and the postoperative IOP, angle and complications were observed. Follow-up time was 6 weeks to 4 months. Results The mean preoperative IOP was (39.44 ± 12.86) mm Hg in 9 patients (9 eyes), and the mean IOP after operation was 13.33 ± 1.80 mm Hg, which was significantly lower than that before operation Statistical significance (P <0.01). Ultrasound biomicroscopy (UBM) examination showed: most or all postoperative open angle. Complications: 3 cases of anterior chamber bleeding exudation, gradually absorbed, no shallow anterior chamber, choroidal detachment and other complications. Conclusion For angle-closure glaucoma, anterior chamber iris adhesion is effective and has good clinical value.