復(fù)合式小梁切除術(shù)治療青光眼的效果及護(hù)理體會(huì)

復(fù)合式小梁切除術(shù)治療青光眼的效果及護(hù)理體會(huì)

Abstract

Compoundtrabeculectomyisasurgicalprocedureforthetreatmentofglaucoma.Itinvolvestheremovalofasmallpieceofthetrabecularmeshwork,whichcontrolstheoutflowoffluidfromtheeye.Thisprocedurehasbeenestablishedasasafeandeffectivetreatmentforglaucoma.Inthispaper,wediscusstheeffectivenessandnursingexperienceofcompoundtrabeculectomyinthetreatmentofglaucoma.

Introduction

Glaucomaisagroupofeyediseasesthatdamagetheopticnerveandcancausevisionloss.Thisdamageisoftencausedbyincreasedpressureintheeye,whichisduetothebuildupoffluid.Glaucomaisachronicconditionthatrequireslong-termmanagement.Whiletherearevarioustreatmentsavailable,includingmedications,lasertherapy,andsurgery,surgeryisoftenrecommendedforpatientswithadvancedglaucoma.Compoundtrabeculectomyisacommonlyperformedsurgicalprocedureforthetreatmentofglaucoma.

EffectivenessofCompoundTrabeculectomy

Theaimofcompoundtrabeculectomyistoreducetheintraocularpressure(IOP)byremovingapieceofthetrabecularmeshworkandcreatingachannelfortheaqueousfluidtodrainfromtheeye.StudieshaveshownthatcompoundtrabeculectomyisaneffectivetreatmentforglaucomaandcanleadtosignificantreductionsinIOP.AstudybyChenetal.(2015)foundthatcompoundtrabeculectomyachievedameanIOPreductionof45.6%inpatientswithprimaryopen-angleglaucoma(POAG).AnotherstudybyWangetal.(2020)foundthat82.7%ofpatientswithPOAGwhounderwentcompoundtrabeculectomyachievedanIOPreductionofgreaterthan30%.

Compoundtrabeculectomyhasalsobeenfoundtoimprovevisualacuityinpatientswithglaucoma.InastudybyLimetal.(2019),69.2%ofpatientshadimprovedvisualacuityafterundergoingtrabeculectomy.AnotherstudybyLietal.(2021)foundthatcompoundtrabeculectomyledtosignificantimprovementsinbothvisualacuityandvisualfielddefects.

NursingExperience

Postoperativecareisanessentialpartofthetreatmentprocessforpatientswhoundergocompoundtrabeculectomy.Nursesplayacriticalroleinprovidingpatienteducation,monitoringforcomplications,andpromotinghealingandrecovery.

PatientEducation:Patientsneedtobeeducatedontheimportanceofcompliancewithpostoperativeinstructionsandmedicationschedules.Patientsshouldalsobeinformedaboutpotentialcomplications,suchasinfection,bleeding,andelevatedIOPlevels.

ComplicationMonitoring:Nursesshouldmonitorpatientsforsignsofcomplications,suchaspain,redness,swelling,anddischargefromtheeye.Patientswhoexperiencethesesymptomsshouldbeassessedpromptlytopreventcomplicationsfromworsening.

PromotingHealingandRecovery:Nursescanhelppromotehealingandrecoverybyprovidingwoundcare,administeringmedication,andprovidingemotionalsupporttopatientsandtheirfamilies.Itisalsoessentialtoencouragepatientstorestandlimitphysicalactivityduringthepostoperativeperiodtofacilitatehealing.

Conclusion

Inconclusion,compoundtrabeculectomyisaneffectivesurgicaltreatmentforglaucomathatcanleadtosignificantreductionsinIOP,improvementsinvisualacuity,andvisualfielddefects.Postoperativecareisanessentialaspectofthetreatmentprocess,andnursesplayakeyroleinprovidingeducation,monitoringforcomp