So sánh hiệu quả điều trị glôcôm của phẫu thuật cắt bè củng giác mạc phối hợp áp hoặc tiêm 5-fu dưới kết mạc

• Tác giả: Thị Lâm Hường Đào
• Ngôn ngữ: vie
• Ký hiệu phân loại: 617.7 *Ophthalmology
• Thông tin xuất bản: Tạp chí Y học Dự phòng, 2012
• Mô tả vật lý: 123-128
• Bộ sưu tập: Metadata
• ID: 628245

Tóm tắt

 Objectives: to compare 2 techniques of glaucoma treatment: trabeculectomy with intraoperative 5-FU application and trabeculectomy with postoperative 5-FU injection. Patients and Methods: Controlled clinical trial including 113 high risk Glaucomatous eyes (primary glaucoma in young patients and previous failed filtering surgeries) which were distributed into 2 groups (1) 5-FU application
  (2) 5-FU injection. 5-FU subconjunctival injection was done. within the first 15 days after the surgery when IOP went up and/or some sign of fibrosis of the bleb was noted. Results: VA was improved along with the success rate of IOP in 100 percent eyes of 2 groups. With time, mean IOP was higher in group 1 (5-FU application). Complimentary 5-FU injections were associated with improved status of filtration bleb. Conclusion: additional 5-FU injections were needed in both groups. Intraoperative 5-FU application with postoperative injections gave equivalent result in comparison with first day 5-FU injection with postoperative injections.