内路小梁切开术对原发性开角型青光眼患者眼压及视力的影响

doi:10.11958/20241389

天津医药 ›› 2025, Vol. 53 ›› Issue (1): 85-87.doi: 10.11958/20241389

内路小梁切开术对原发性开角型青光眼患者眼压及视力的影响

张阳(), 段颖, 崔明霞, 树玲博

衡水市第四人民医院眼科（邮编053000）

收稿日期:2024-09-19 修回日期:2024-11-15 出版日期:2025-01-15 发布日期:2025-02-06
作者简介:张阳（1987），男，主治医师，主要从事眼科疾病的诊疗方面研究。E-mail：18031816323@163.com
基金资助:
衡水市科技计划项目(2023014066Z)

Effects of internal trabeculectomy on postoperative intraocular pressure and visual acuity in patients with primary open-angle glaucoma

ZHANG Yang(), DUAN Ying, CUI Mingxia, SHU Lingbo

Department of Ophthalmology, the NO.4 People's Hospital of Hengshui, Hengshui 053000, China

Received:2024-09-19 Revised:2024-11-15 Published:2025-01-15 Online:2025-02-06

张阳, 段颖, 崔明霞, 树玲博. 内路小梁切开术对原发性开角型青光眼患者眼压及视力的影响[J]. 天津医药, 2025, 53(1): 85-87.

ZHANG Yang, DUAN Ying, CUI Mingxia, SHU Lingbo. Effects of internal trabeculectomy on postoperative intraocular pressure and visual acuity in patients with primary open-angle glaucoma[J]. Tianjin Medical Journal, 2025, 53(1): 85-87.

摘要/Abstract

摘要：

目的探讨内路小梁切开术对原发性开角型青光眼（POAG）患者术后眼压和视力的影响。方法纳入行内路小梁切开术的POAG患者126例。比较患者手术前后眼压、药物使用种类、视力及并发症发生情况。结果患者术后1周、1个月、3个月眼压显著下降，药物使用种类显著减少，视力显著提高（P<0.05）；术后患者出现眼压反跳并发症的发生率（27.78%）最高，其次为前房积血（14.29%）、角膜水肿（10.32%）、睫状体脱离（7.14%）。结论对POAG患者进行内路小梁切开术治疗，可有效控制患者眼压下降，有助于视力恢复，减少药物使用种类，效果较为理想，临床应用价值较高。

关键词: 青光眼，开角型, 眼压, 视力, 手术后并发症, 内路小梁切开术

Abstract:

Objective To investigate the effect of internal trabeculectomy on postoperative intraocular pressure and visual acuity in patients with primary open angle glaucoma (POAG).Methods A total of 126 POAG patients underwent internal trabeculectomy were included in this study. Intraocular pressure, types of drug used, visual acuity and complications were compared before and after operation.Results Intraocular pressure was significantly decreased, types of drug used were significantly reduced and visual acuity was significantly improved at 1 week, 1 month and 3 months after surgery (P < 0.05). The incidence of postoperative intraocular pressure rebound complication was the highest in postoperative patients (27.78%), followed by hyphema (14.29%), corneal edema (10.32%) and ciliary detachment (7.14%).Conclusion Internal trabeculectomy for POAG patients can effectively control the decrease of intraocular pressure in patients, help to restore vision, reduce types of drug used, and the effect is ideal, and the clinical application value is high.

Key words: glaucoma, open-angle, intraocular tension, vision, postoperative complications, internal trabeculectomy

中图分类号:

R776.1

图/表 1

参考文献 16

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时间	眼压/mmHg	药物使用种类/种	视力/logMAR
术前	34.73±3.66	2.73±0.68	0.64±0.18
术后1周	13.23±2.21^a	2.09±0.55^a	0.40±0.11^a
术后1个月	14.35±2.31^a	1.21±0.33^a	0.17±0.04^a
术后3个月	13.98±2.27^a	0.52±0.11^a	0.19±0.05^a
F	1 912.657^＊＊	536.651^＊＊	499.852^＊＊

时间	眼压/mmHg	药物使用种类/种	视力/logMAR
术前	34.73±3.66	2.73±0.68	0.64±0.18
术后1周	13.23±2.21^a	2.09±0.55^a	0.40±0.11^a
术后1个月	14.35±2.31^a	1.21±0.33^a	0.17±0.04^a
术后3个月	13.98±2.27^a	0.52±0.11^a	0.19±0.05^a
F	1 912.657^＊＊	536.651^＊＊	499.852^＊＊

内路小梁切开术对原发性开角型青光眼患者眼压及视力的影响

Effects of internal trabeculectomy on postoperative intraocular pressure and visual acuity in patients with primary open-angle glaucoma

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