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目的 :评价小梁切除术联合垂直巩膜条切开返转嵌顿术 (术中用或不用丝裂霉素 )治疗晚期新生血管性青光眼的临床效果。方法 :采用巩膜瓣下咬切术联合垂直巩膜条切开返转嵌顿术 ,术中用或不用丝裂霉素治疗晚期新生血管性青光眼 2 7例 2 7眼。结果 :术后 6月内 ,2 7眼的眼压均正常 ;术后 1年时 ,眼压控制率达 94 % ( 16/ 17) ;术后 2年时 ,眼压控制达 81% ( 17/ 2 1)。无严重并发症。结论 :小梁切除术联合垂直巩膜条切开返转嵌顿术 (术中用或不用丝裂霉素 )是一种治疗晚期新生血管性青光眼有效方法。并对其机理、并发症和优点进行了扼要分析。
Objective: To evaluate the clinical effect of trabeculectomy combined with vertical scleral incision and reperfusion arthroplasty (with or without mitomycin) in the treatment of advanced neovascular glaucoma. Methods: Under scleral flap bite resection combined with vertical scleral incision and incarceration and incarceration, with or without mitomycin in the treatment of advanced neovascular glaucoma 27 cases 27 cases. RESULTS: Intraocular pressure was normal in 27 eyes within 6 months after operation. The intraocular pressure was controlled at 94% (16/17) at 1 year after operation. The intraocular pressure was controlled at 81% at 2 years / twenty one). No serious complications. CONCLUSION: Trabeculectomy combined with vertical scleral incision and reperfusion incision (with or without mitomycin) is an effective method for the treatment of advanced neovascular glaucoma. And a brief analysis of its mechanism, complications and advantages.