高眼压下青光眼的手术治疗

目的探讨高眼压下行青光眼复合式小梁切除术的疗效.方法对33例(33只眼)应用药物不能控制眼压的青光眼患者,采取术中先缓慢降压的方法,进行复合式小梁切除术.结果术后视力提高20只眼,占60.61%,视力不变8只眼,占24.24%;术后眼压控制≤21mmHg21只眼,占66.67%,局部用药可控制者9只眼,占27.27%.结论对药物不能有效控制眼压的青光眼患者,在高眼压下采取必要措施,进行复合式小梁切除术是可行的.

Combined trabeculectomy in high intraocular pressure

Objective To evaluate the effect of combined trabeculectomy in high intraocular pressure. Methods The combined trabeculectomy was performed on thirty-tree cases(33 eyes) uncontrolled intraocular pressure with drug. Before operation try to depress ocular tension . During operation make the aqueous humor to flow out slowly. Results After a month of operation, the visual acuity improved obviously in 20 eyes(60.61%), visual acuity remained unchange in 8 eyes(24.24%). The ocular tension of 21 eyes was less than 21mmHg(66.67%); after using part medicine ocular tension of 9 eyes was controlled.Conclusion The combined trabeculectomy may be a good alternative in treating glaucoma of uncontrolled intraocular pressure with drug.