外路小梁切开术治疗发育性青光眼

External trabeculotomy in treatment of developmentalglaucoma:a clinical report on 140 eyes of 88 cases.

外路小梁切开术（ｅｘｔｅｒｎａｌｔｒａｂｅｃｕｌｏｔｏｍｙ）治疗发育性青光眼８８例１４０只眼，其中婴幼儿型青光眼８０例１２８只眼，青少年型青光眼８例１２只眼。平均随访１５．２个月，单纯手术疗效７３．９％，加局部少量用药后可使８６．４％的青光眼得到控制。并发症少而轻。阐述了手术的要点和术后处理的关键，评价了手术疗效，分析了影响手术预后的可能相关因素，认为该手术优于房角切开术。应推广外路小梁切开术治疗发育性青光眼，尤其适用于原发性婴幼儿型青光眼。

Abstract140 eyes of 88 cases with developmental glaucoma including 128 eyes of 80 cases with infantile glaucoma and 12 eyes of 8 cases with juvenile glaucoma were treated bv external trabecuIotomy.The success rate of the operation is 73.9%and by addition of small amount of topical antiglaucoma agent the rate of glau-comatous control reaches to 86.4%,the average peri-od of follow-up being 15.2 months.The complica-tions of the operation are few and mild in degree. The important steps of the operative procedure and the critical points of the post-operative rnanagenlent were described,the therapeutic effect of the operation was evaluated and the factors which oossiblv can affect the prognosis of the operation were analyzed.It is recog nized that the operatiOn is better than goniOtomy. We recornmendexternal trabec01otOmv for treatment of developmental glaucoma which is especially suitable for primary infantile glaucoma.