[Safety and efficacy of outpatient glaucoma surgery].
[Safety and efficacy of outpatient glaucoma surgery].
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发表时间：
2000
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通讯作者：
Lleó Pérez AV;Moratal Juan B;Pinós Rajadel JP;Hernández Martínez FJ;Navarro Palop C;Pallás Ventayol C
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文献类型：
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作者：
Lleó Pérez AV;Moratal Juan B;Pinós Rajadel JP;Hernández Martínez FJ;Navarro Palop C;Pallás Ventayol C
目的评价门诊青光眼滤过手术的疗效及术后并发症的发生率。方法回顾性分析134例青光眼患者行小梁切除术的临床资料，其中门诊54例，住院80例。作者比较了两组之间的人口统计学数据、术前青光眼药物、外科手术、实现的滤过量和术后并发症。结果两组在年龄、性别分布、青光眼的程度和持续时间以及眼部消肿药物的数量方面具有可比性。两组的总体眼内压（IOP）降低相似。两组之间术后3个月的平均IOP（p=0.16）、前房积血（p=0.36）、浅前房（p=0.38）或滤过泡渗漏（p=0.22）的发生率无统计学显著差异。两组的平均术后随访和对照访视次数相似。结论门诊青光眼手术的低并发症发生率和最终结果证实了门诊青光眼手术的安全性和可靠性。
PURPOSE To assess the outcome of filtration surgery and to evaluate the incidence of postoperative complications in outpatient glaucoma surgery cases. METHODS This retrospective study comprised 134 patients with glaucoma who underwent trabeculectomy either as out-patient (n= 54) or as in-patient (n= 80). The authors compared demographic data, preoperative glaucoma medications, surgical procedures, amount of filtration achieved, and postoperative complications between both groups. RESULTS The two groups were comparable in terms of age, gender distribution, or degree and duration of glaucoma and number of ocular hypotensive medications. The overall intraocular pressure (IOP) reduction was similar in both groups. There was no statistically significant difference in mean IOP three months following surgery (p=0.16), the incidence of hyphaema (p=0.36), shallow anterior chamber (p=0.38), or leaking bleb (p=0.22) between the two groups. The average postoperative follow-up and the number of control visits were similar in both groups. CONCLUSIONS The low rate of complications and the final results confirm the safety and security of ambulatory surgery for glaucoma.