Kết quả điều trị phẫu thuật của glôcôm góc đóng nguyên phát

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Tất Thắng Trần, Thị Hà Trịnh

Ngôn ngữ: vie

Ký hiệu phân loại: 617.7 *Ophthalmology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2021

Mô tả vật lý: 230-233

Bộ sưu tập: Metadata

ID: 498060

Thêm vào giỏ

Đánh giá đặc điểm lâm sàng, cận lâm sàng, kết quả điều trị phẫu thuật Glôcôm góc đóng nguyên phát. Đối tượng và phương pháp nghiên cứu: Mô tả, tiến cứu, có can thiệp lâm sàng không nhóm chứng, tiến hành trên 41 mắt Glôcôm góc đóng nguyên phát được phẫu thuật cắt bè củng giác mạc hoặc laser cắt mống mắt chu biên tại Bệnh viện Mắt Nghệ An từ tháng 1/2021 đến tháng 4/2021. Kết quả: Bệnh nhân trên 60 tuổi (73,4%), bệnh nhân nữ chiếm 66,7%. Triệu chứng cơ năng chủ yếu: nhìn mờ (90%) và đau nhức (93,3%). Triệu chứng thực thể chủ yếu là tiền phòng nông (100%), nhãn áp trung bình trước mổ là 21 ± 3,9mmHg. Cận lâm sàng chụp OCT: mức độ lõm đĩa >
0,3 chiếm 83,8%. Sau phẫu thuật 1 tháng: thị lực ổn định hoặc tăng ít, không có trường hợp nào giảm thị lực so với trước phẫu thuật. Nhãn áp sau mổ còn 17,4±1,1mmHg. Không ghi nhận các biến chứng trong và sau mổ. Điều trị phẫu thuật hạ nhãn áp là phương pháp điều trị hiệu quả và an toàn.To describe the clinical & paraclinical features and surgical results of primary angle - closure glaucoma. Subjects and methods: Prospective corelation study. Trabeculectomy or laser peripheral irdectomy was performed on 41 eyes of primary angle - closure glaucoma at Eye Hospital of Nghe An province from January 2021 to April 2021. Results: patients who were over 60 years old made up 73.4%, the majority of the subjects were female 66,7%. The physical symptoms included blurred vision (90%) and painful eyes (93.3%). The functional symptoms are mainly shallow anterior chamber (100%), the mean IOP: 21±3,9mmHg. Optical Coherence Tomography: C/D>
0.3(83,8%). One month of post-operation: decreasing visual acuity (0%), the visual acuitis were remainded or increased in all most of cases. The mean preoperative intraocular pressure (IOP) was 17,4±1,1mmHg. No complication is on operation or postoperation. Trabeculectomy and Laser peripheral irdectomy were effective and safe to decrease IOP.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR