原发性急性闭角型青光眼持续高眼压下手术治疗的临床分析

目的：探讨持续高眼压状态下进行小粱切除术治疗的特点．观察手术的安全性和疗效。方法：对25例（27眼）应用药物治疗不能控制眼压（≥40mmgHg）的青光眼患者，术前、术中采取多种方法控制眼压后施行小梁切除术。结果：本组病例术中及术后均未出现爆发性脉络膜上腔出血、睫状环阻滞型青光眼等严重并发症。术后1周，视力提高者（≥0．12）21眼占77．76％，眼压控制在11～21mmHg者22眼占81A8％。结论：对于应用药物治疗不能有效控制眼压的青光眼患者应当及时进行手术治疗。在完善术前准备，术中精心操作，术后密切观察下手术是安全、有效的。

Clinical analysis of trabeculectomy for primary acute angle-closure glaucoma with high intraocular pressure

Objective To evaluate the efficacy and safety of trabeculectomy for primary acute angle-closure glaucoma with high intraocular pressure. Methods The trabeculectomy was performed on 25 cases（27 eyes） uncontrolled intraocular pressure with drug （≥40mmgHg）after the intraocular pressure and had been performed with many kinds of methods in procedures of pre-operation and intra-operation. Results There were no serious complications such as epichorodal hemorrhage ,malignant glaucoma, The visions of 21 eyes （77.76%） rose （≥0.12）, The intraocular pressure was 11-21 mmHg in 22 eyes （81.48%） one week after operation. Conclusion Once the intraocular pressure cannot be controlled, surgical treatment should be undertaken. It is necessary, and safe and effective to perform the trabeculectomy on angle-closure glaucoma with persistent high intraocular pressure under careful preparation and operation.