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題名 | The Outcomes of Trabeculectomy with or Without Mitomycin in ICE Syndrome=小樑切除術合併使用Mitomycin於虹膜角膜內皮細胞症候群 |
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作者姓名(中文) | 劉淳熙; 古婉珍; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 38:3 1999.09[民88.09] |
頁次 | 頁350-355 |
分類號 | 416.74 |
關鍵詞 | 小樑切除術; 虹膜角膜內皮細胞症候群; Chandler's syndrome; Progressive iris atrophy; Trabeculectomy; Mitomycin; |
語文 | 英文(English) |
中文摘要 | 虹膜角膜內皮細胞症候群常以角膜水腫,青光眼及虹膜變化為其表徵。本文收集 十二例(十四隻眼) ICE 症候群且併發青光眼的病例,其中九隻眼接受小樑切除術, 另五 隻眼施行小樑切除術合併使用 Mitomycin。我們比較這兩組病人術後眼壓及視力,發現不論 單獨實施小樑切除術或合併使用 Mitomycin 皆可有效控制眼壓, 其手術成功率分別為 77% 及 80%。然而大部份的病人術後視力癒後並不佳,主要的原因為持續性的角膜水腫。 |
英文摘要 | Purpose: To evaluate and compare the efficacy of trabeculectomy with or without mitomycin patch in glaucoma of ICE syndrome. Methods: We reviewed 12 patients (14 eyes) with medically-uncontrolled glaucoma if ICE syndrome. Seven patients (nine eyes) underwent trabeculectomy only and five patients (five eyes) underwent trabeculectomy combined with 0.4 mg/mL mitomycin under the conjunctival and scleral flap. Results: In the conventional trabeculectomy group, seven of the nine eyes (77%) had adequate IOP control. In the trabeculectomy with mitomycin group, four of the five eyes (80%) had satisfactory IOP control. However, visual prognosis after surgery was poor in most of the patients. Causes of poor visual outcome included corneal edema and glaucomatous cupping. Conclusion: Trabeculectomy with or without mitomycin patch was equally effective in controlling glaucoma of ICE syndrome, but postoperative low pressure could not offer good visual prognosis. |
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