复合式小梁切除术在治疗持续性高眼压状态下急性闭角型青光眼的临床应用

目的探讨原发性急性闭角型青光眼在极高眼压状态下行小梁切除术的手术要点、疗效及安全性。方法对18例（19眼）急性闭角型青光眼充分降压后眼压仍很难降至正常患者,在眼压〉40 mmHg下行复合式小梁切除术,术后随访6~15月。结果19眼手术顺利,无1例出现暴发性脉络膜上腔出血、恶性青光眼等严重并发症。术后6~15月,15眼眼压控制在10~21 mmHg,2眼需加药物控制。成功率为78.9%。结论原发性闭角型青光眼在持续性极高眼压下,如药物不能控制,应果断采取手术治疗,复合性小梁切除术是安全有效的。

Clinical observation of compound trabeculectomy for primary angle-closure glaucoma with durative intraocular hypertension

Objective To research the efficacy and safety of compound trabeculectomy for primary angle-closure glaucoma with durative intraocular hypertension.Methods Compound trabeculectomy was performed on 18 patients（19 eyes） with uncontrolled and durative intraocular hypertension（IOP40mm Hg）.All patients were fellowed up for 6~15 months.Results No complications of epichoroidal hemorrhage or malignant glaucoma happened in all cases after operation.The postoperative IOP was 10~21mm Hg in 15 eyes and 2 eyes needed additional medical treatment after 6~15 months.The successful rate was 78.9%.Conclusion Once IOP cannot be controlled,surgical treatment should be undertaken at once.It is necessary and safe and effective to perform the compound trabeculectomy on primary angle-closure glaucoma with durative intraocular hypertension.