表面麻醉下行复合小梁切除术治疗晚期青光眼

目的 探讨表面麻醉下行复合小梁切除术治疗晚期青光眼的安全性和可行性.方法 对36例41眼晚期青光眼患者在表面麻醉下行复合小梁切除术,观察麻醉效果和术中并发症.结果 33眼(81％)达到1级麻醉效果,5眼(12％)达到2级麻醉效果,共有38眼(93％)顺利完成手术,术中未出现常规麻醉可能出现的局部及全身并发症.3眼(7％...

Topical Anesthesia in Compound Trabeculectomy for the Treatment of Advanced Glaucoma

Objective To investigate the effects and feasibility of topical anesthesia in compound trabeculectomy for the treatment of advanced glaucoma.Methods 41 eyes of 36 patients with advanced glaucoma were operated in compound trabeculectomy with topical anesthesia,then observed were the effects of anesthesia and intraoperative complications.Results 33 eyes(81%) reached anesthetic effect Ⅰ,5 eyes(12%) reached anesthetic effect Ⅱ,a total of 38 eyes(93%) operated successfully without local and systemic complications under the conventional anesthesia.But 3 eyes(7%) reaching anesthetic effect Ⅲ with obvious pain could not be operated until retrobulbar anesthesia was adopted.In the process of operation,bleeding occurred in the anterior chambers,but there were no possible local and systemic complications under conventional anesthesia.Conclusion It is safe,reliable,efficient,simple and easy to adopt topical anesthesia in compound trabeculectomy for the treatment of advanced glaucoma.Therefore,it is worthy of clinical application.