小梁切除联合巩膜嵌顿术治疗青光眼临床观察

目的:青光眼术后,阻止引流口瘢痕形成,提高小梁切除术远期疗效。方法:对35例46眼青光眼采用小梁切除联合巩膜嵌顿术。术中将原来丢弃的小梁巩膜做巩膜嵌顿术。结果:46眼术前平均眼压为32.80mmHg,随访12个月,平均17.68mmHg,滤过泡明显者41眼;不明显者5眼,按摩后,滤过泡明显。结论:小梁切除联合巩膜嵌顿术是治疗青光眼的有效术式。

Trabeculectomy and sclerocleisis for glaucoma : A clinical observation

Objective:To improve the long time effect of trabeculectomy and to prevent scar formation after operation of glaucoma. Methods: Trabeculectomy and sclerocleisis were used for 36 eyes of 45 glaucoma cases. The sclerocleisis was used for the trabecular sclera which has been discarded in routine operation. Results:At 12 months after operation, the average intraocular pressure of the 46 eyes reduced from 32.80mmHg to 17.68mmHg. The conjunctival follicles of 41 of 46 eyes became obvious and the conjunctival follicles failed to be obvious but reappeared after massage therapy in 5 of 46 eyes. Conclusion: The treatment of glaucoma with trabeculectomy and sclerocleisis is more effective than the routine methods.