复合式小梁切除术的临床观察

目的：探讨复合式小梁切除术(小梁切除术联合丝裂霉素C及可拆除缝线)治疗青光眼的效果。方法：对75例(99只眼)青光眼随机分为2组。观察组行复合式小梁切除术，对照组行小梁切除术，进行疗效观察并随访3-15个月。观察比较术后眼压、滤过泡、前房深度、视力及眼部其它并发症。结果：术后观察组低眼压、浅前房、视力下降及并发症的发生率明显少于对照组。结论：复合式小梁切除术可有效地防止术后结膜滤过泡瘢痕化及控制术后滤过水平，从而减少术后并发症的发生，值得应用于青光眼手术中。眼科学报2003；19：86-88

Trabeculectomy Combined with Mitomycin C and Removed Suture in Glaucoma

Purpose :To study the clinical effect of trabeculectomy combined with Mitomycin C and removed suture. Methods:Seventy-five patients (99 eyes) with glaucoma were randomized into two groups: a controlled group underwent normal trabeculectomy,an observed group with trabeculectomy.The intraocular pressure (IOP) ,the anterior chamber depth, the filtering blebs, the visual acuity and other ocular complications were measured and compared between the two groups. Results:The incidence of postoperative low IOP, shallow anterior chamber, the visual acuity loss and other complications in the observed group were less than those in the controlled group. Conclusion: Trabeculectomy could effectively reduce the incidence of postoperative complication by controlling the amount of aqua oculi outflowing. It is worthy of application in glaucoma surgical operation. Eye Science 2003; 19: 86-88.