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題 名 | Combined Trabeculectomy and Extracapsular Cataract Extraction with Mitomycin C=Mitomycin-C運用在青光眼白內障聯合手術的安全性及有效性 |
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作 者 | 劉瑞玲; 蔡傑智; 周清光; 劉榮宏; | 書刊名 | 中華醫學雜誌 |
卷 期 | 60:4 1997.10[民86.10] |
頁 次 | 頁205-212 |
分類號 | 416.74 |
關鍵詞 | 抗新陳代謝產物; 白內障; 濾過性手術; 青光眼; 水晶體; Antimetabolite; Cataract; Filtration surgery; Glaucoma; Lens; |
語 文 | 英文(English) |
中文摘要 | 背景:評估在小樑切除術合併囊外白內障摘除術中使用濃度為0.02%的mitomycin-C (MMC)的安全性及長期降眼壓的效果。 方法:前瞻性追蹤在研究期間接受小樑切除合併囊外白內障摘除術的患者,且術後追蹤期間在一年以上者。 結果:手術前患者平均眼壓為19.2±3.2毫米汞柱,所用青光眼藥物的平均數目為2.1,手術後一年的平均眼壓為12.1±2.7毫米汞柱,平均使用藥物數目為0.2,兩者均有顯著的變化(p<0.05)。在術後一年,有27隻患眼(90%)的眼壓可以維持在15毫米汞柱或以下,同時有26例患者(86.7%)不需要使用藥物控制眼壓。由角弧度儀測量值所演算出來的淨散光(net astigmatism)及極值(polar value)在手術後一年分別為1.43±0.94及0.07 ± 1.38diopter,和手術前的值相比並沒有顯著的差異。 結論:大多數患者在接受MMC小樑切除合併囊外白內障摘除術後一年,眼壓在不使用藥物的情況下都還能維持在15毫米汞柱以下。在手術中使用0.02%的MMC並沒有造成角膜內皮細胞或傷口癒合的不利影響。 |
英文摘要 | Background: To evaluate the long-term intraocular pressure (IOP) reduction effect and safety of adjunctive mitomycin C (MMC) (0.02%) in combined trabeculectomy and extracapsular cataract extraction (ECCE) procedure. Methods: Thirty of forty-one consecutive patients who underwent MMC trabeculectomy and ECCE with a minimum follow-up of 12 months were evaluated. Results: The mean IOP was reduced significantly (p < 0.0001) from preoperative 19.2 ± 3.2 mmHg to postoperative 12.1 ± 2.7 mmHg, while the mean number of medications decreased from 2.1 to 0.2 at 1-year follow-up. Twenty-seven (90%) patients had IOPs controlled at 15 mmHg or less, and 26 (86.7%) patients required no medication. Net astigmaism and polar value converted from keratometric readings were 1.43 ± 0.94 diopters and 0.07 ± 1.38 diopters, respectively, in 1-year follow-up, which were not significantly different from the preoperative values. Conclusions: Intraocular pressure could be maintained in the low teens without the need for medication in a majority of patients even one year after the combined procedure. No adverse effect on corneal endothelium or limbal wound healing was detected with intraoperative application of 0.02% MMC. |
本系統中英文摘要資訊取自各篇刊載內容。