- 期刊
- OpenAccess
小樑切除術於無晶體青光眼之療效～四年長期追踪報告
Trabeculectomy in Aphakic Glaucoma-Four-Year Long Term Follow-Up Result
摘要
無晶體青光眼仍然是臨床上令人困擾的問題，本文對44位（47隻眼）患續發性無晶體青光眼之病患，施行小樑切除術之療效評估，追踪期間均超過四年，僅一次施行小樑切除術即可控制良好眼壓者（低於21mmHg以下），有15隻眼(31.9%)，需加藥物治療者有7隻眼(14.9%)，需藉助第二次或合併其他手術療法方可控制者有8隻眼(17%)，眼壓無法控制者有17隻眼(36.2%)。 術後併發症有前房出血，前房消失，玻璃體脫出，虹膜睫狀體炎，低眼壓症，水泡性角膜病變。 無晶體性青光眼之治療方法，除小樑切除術外，尚有許多方法，但治療效果誠難預料，小樑切除術之併發症少，且術後可控制良好的眼壓，比較其他手術療法，對無晶體性青光眼不失為一有效的方法。
關鍵字
無資料並列摘要
Aphakic glaucoma is one of the most troublesome diseases because of the difficulty in intraocular pressure control. A retrospective evaluation of trabeculectomy for aphakic glaucoma was made. 47 eyes (44 patitients) with aphakic glaucoma due to extensive peripheral anterior synechiae were treated by standard trabeculectomy. Well-controlled intraocular pressure (less then 21 mmHg) was achieved in 15/47 eyes (31.9%) by trabeculectomy alone, in 7/47 eyes (14.9%) with additional medication, in 8/47 eyes (17%) by trabeculectomy with cyclodialysis and/or cyclocryotherapy. The remaining 17/47 eyes (36.2%) failed to be controlled. The complications included vitreous prolapse, hyphema, hypotony, flat anterior chamber and persistent iridocyclitis. Although trabeculectomy was a safe and reasonable operation for aphakic glaucoma, a less successful rate than in phakia was found. To avoid complications during cataract surgery is the most important.