视网膜激光光凝与复合式小梁切除术治疗新生血管性青光眼的临床疗效对比

目的:观察和比较视网膜激光光凝与复合式小梁切除术治疗新生血管性青光眼(NVG)的临床疗效和安全性。方法:选择2013年1月~2015年6月我院收治的新生血管性青光眼患者85例,随机分为两组,观察组采用视网膜激光光凝术治疗,对照组采用复合式小梁切除术治疗,比较两组的临床疗效和并发症的发生情况。结果:两组术后眼压均较治疗前明显降低(P0.05),且观察组明显低于对照组(P0.05);两组术后视力、虹膜新生血管退化情况相比差异无明显统计学意义(P0.05);观察组术中、术后前房出血发生率均明显低于对照组(P0.05)。结论:视网膜激光光凝与复合式小梁切除术对新生血管性青光眼均有较好的治疗效果,复合式小梁切除术对患者眼压控制效果更好,安全性更高。

Comparison of the Clinical Effect of Retinal Laser Photocoagulation and Compound Trabeculectomy in the Treatment of Neovascularity Secondary Glaucoma

ABSTRACT Objective: To investigate the clinical effect of retinal laser photocoagulation and compound trabeculectomy in the treatment of neovascularity secondary glaucoma(NVG). Methods: 85 cases of patients with NVG admitted in our hospital from January 2013 to June 2016 were selected and divided into the observation group and the control group. Patients in the observation group were treated with retinal laser photocoagulation, and the control group was treated with compound trabeculectomy. The intraocular pressure, vision, iris neovascularization, functional filtering bleb and incidence of complications were compared between two groups. Results: The intraocular pressure after operation of both groups were significantly lower than those before operation(P<0.05), and the intraocular pres- sure of observation group at 1 year after operation was significant lower than that of the control group(P<0.05). No significant difference was found in the vision, degraded condition of iris neovascularization between two groups(P>0.05). The occurrence rate of traumatic hy- phema intraoperative and postoperative of observation group were significantly lower than those of the control group(P<0.05). Conclusion: Both retinal laser photocoagulation and compound trabeculectomy in neovascularity secondary glaucoma was effective and safe in the treatment of NVG, and compound trabeculectomy was more effective and safe.