摘要目的 观察在青光眼手术中以29 G一次性胰岛素注射器抽吸玻璃体水囊的效果.方法 回顾性研究2016年8月至2018年5月青光眼术前眼压难以控制者68例(74眼)的临床资料,所有患者术中以29 G胰岛素注射器行玻璃体水囊抽吸.随访6个月以上.结果 视力≥0.1者术前为35 (47.3％),术后7d为57眼(77.0％).平均眼压(Goldmann)术后各时间点均较术前降低,差异均具有统计学意义(均P＜0.01).术后7d前房深度均较术前增加,差异有统计学意义(江30.52,P=0.00).术中、术后均未出现玻璃体积血或脉络膜爆发性出血等严重并发症.结论 以29 G胰岛素注射器抽吸玻璃体水囊操作安全、有效、简便且可重复.

abstractsObjective To observe the efficacy of application of 29 G disposable sterile insulin syringe in vitreous water sac suction during glaucoma surgery.Methods A retrospective study.The data of 74 eyes of 68 cases of glaucoma who had difficulty in controlling intraocular pressure before surgery from Aug.2016 to May 2018 were analyzed.Patients were followed up for more than 6 months.Results The visual acuity was ≥0.1 in 35 eyes (47.3％) before operation,and 57 eyes (77.0％) at 7 days after operation.The difference of average IOP (Goldmann) was statistically significant between all time points after operation and before operation (P ＜ 0.01).At 7 days after operation,the difference of anterior chamber depth between preoperative and postoperative was statistically significant (t =30.52,P =0.00).No serious compatication such as intraoperative or postoperative vitreous hemorrhage or choroidal explosive hemorrhage occurred.Conclusion Application of 29 G insulin syringe in vitreous water sac suction is safe,effective,simple and repeatable.