| 钱莉,王伟,阮建祥.持续配戴软性角膜接触镜治疗原发性闭角型青光眼小梁切除术后滤过泡渗漏34例[J].安徽医药,2019,23(9):1793-1796. |
| 持续配戴软性角膜接触镜治疗原发性闭角型青光眼小梁切除术后滤过泡渗漏34例 |
| Continuous wearing of soft corneal contact lens in the treatment of filtering bleb leakage after trabeculectomy for primary angle- closure glaucoma:a report of 34 cases |
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| DOI：10.3969/j.issn.1009-6469.2019.09.023 |
| 中文关键词: 青光眼，闭角型 软性角膜接触镜 小梁切除术 滤过泡渗漏 |
| 英文关键词: Glaucoma,angle-closure Soft corneal contact lens Trabeculectomy Iltering bleb leaking |
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| 中文摘要: |
| 目的 探讨持续配戴软性角膜接触镜治疗原发性闭角型青光眼小梁切除术后滤过泡渗漏的临床价值。方法 选取2013年5月至2016年1月铜陵市人民医院确诊为原发性闭角型青光眼并住院治疗，小梁切除术后出现滤过泡渗漏68例(68只眼)，采用随机数字表法分为两组，观察组(34例34只眼)采用持续配戴软性角膜接触镜，对照组(34例34只眼)采用传统眼外小棉枕加压包扎治疗，比较两组方法治疗后患眼舒适度、滤过泡渗漏愈合时间和角膜水肿发生率。结果 治疗后患眼舒适度比较，观察组0级34例，对照组0级6例，1级15例，2级9例，3级4例，观察组患眼舒适度高于对照组，差异有统计学意义([Uc=6.59]，P＜0.05)；治疗后患眼滤过泡渗漏愈合时间比较，观察组2 d 8例、5 d 19例、8 d 5例、需要缝合2例，对照组3 d 23例、5 d 5例、需要缝合6例，两组滤过泡渗漏愈合时间差异有统计学意义([χ2=46.167]，P＜0.05)；对照组发生角膜水肿6例，观察组0例，观察组较对照组角膜水肿的发生率低，差异有统计学意义(P＜0.05)。结论 与传统眼外小棉枕加压包扎治疗比较，持续配戴软性角膜接触镜治疗原发性闭角型青光眼小梁切除术后滤过泡渗漏，在治疗的便捷、角膜水肿的发生率、病人的舒适度和医患双方配合上，更具有优势。 |
| 英文摘要: |
| Objective This study aimed to explore the therapeutic effect of permanently wearing soft corneal contact lens on early filtering bleb leaking after trabeculectomy.Methods This retrospective study included 68 cases (68 eyes) experiencing early filtering bleb leaking after trabeculectomy.All patients were diagnosed with primary angle-closure glaucoma and treated in the Tongling People--s Hospital ranging from May 2013 to Jan 2016.They were divided into two groups by random number table.Observation group (34 cases，34 eyes) worn soft corneal contact lens，and the control group (34 cases，34 eyes) used a small cotton pillow to press the filtering bleb.Comfort level of the affected eye，healing time of filtering bleb leaking，and incidence of corneal edema were compared after two different treatments.Results All patients of the observation group (34 cases) were 0 grade.However，in the control group，there are 6，15，9，4 cases respectively in 0，1，2，3 grade.The comfort level of the observation group was higher than that in the control group，and the difference was statistically significant([Uc=6.59]，P＜0.05).The healing time of filtering bleb leaking was also stati- stically significant between two groups([χ2=46.167]，P＜0.05).There were 8，19，5 cases respectively of 2d，5d，8d and 2 cases required suture in observation group.Comparely，23，5 cases of 3d，5d，and 6 cases required suture in control group.6 cases of corneal edema in the control group were compaered with 0 cases of the observation group.The incidence of corneal edema was low in observation and the difference was statistically significant (P＜0.05).Conclusion The continuous wearing soft corneal contact lens has more advantages in the convenience，the incidence of corneal edema，the comfort level of patients and the cooperation between doctors and patients，compared with the traditional external cotton pillow to press the filtering bleb. |
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