青光眼小梁切除联合可松解虹膜瓣缝线的临床体会

目的：评价青光眼小梁切除联合可松解巩膜瓣缝线术的临床效果。方法 随机选取原发性闭角型青光眼36例，均行小梁切除联合可松解巩膜瓣缝线术。结果：同手术前1日比，术后3眼远视力提高，28眼远视力无变化，5眼远视力下降。术后36眼前房立即成，其中Ⅰ度浅前房5眼，正常深前房31眼，术后早期6眼眼压＞15mmHg,30眼眼压6－14mmHg。术后第1天、第3天分别拆除单侧可松解巩膜瓣缝线30眼；第6－9天及第12天，同时拆除两根可松解巩膜瓣缝线30眼。结论：同单纯小梁切除术报道情况比，小梁切除联合可松解巩膜瓣缝线术具有术后并发症少，疗效佳等优点。

The clinical experience of trabeculectomy combined with the releasable suture of scleral flap of glancama

Objective:To evaluate the clinical effect of trabeculectomy combined with the releasable suture of scleral flap of glaucoma.Mehtod:36 eyes suffering from primary angle-closure glaucoma were operated by trabeculectomy combined with the releasable suture of glaucoma.Results:Far Vision of 3 eyes increased and that of 28 eyes did not change while that of 5 eyes diminished after operation,compared with before operation.The anterior chambers of 36 eyes were immediately formed after operation.The anterior chambers of 5 eyes were shallow and the ones of 31 eyes were normally deep.The intraocular pressure(IOP)of 6 eyes was over 15mmHg early after operation;The IOP of 30 eyes was 6-14mmHg.The unilateral releasable sutures of scleral flap of 6 eyes were respectively removed the first day and the third day after operation while the bilateral ones of 30 eyes were done meanwhile.Conclusion:Compared with the reports of simply trabeculectomy,the trabeculectomy combined with the releasable suture of scleral flap had less complications and better effect.