复合式小梁切除术治疗闭角型青光眼的临床观察

Clinical observation on the treatment of primary angle-close glaucoma with complex trabeculectomy

目的评价复合式小梁切除术治疗原发性闭角型青光眼的临床效果。方法对56例(56眼)原发性闭角型青光眼行复合式小梁切除术,术中在巩膜瓣下放置浸有0.2mg/mL丝裂霉素的棉片3～5min,缝合巩膜瓣时作两根可拆除缝线。术后观察眼压、前房、滤过泡、视力及并发症发生情况,术后进行随访4～27月。结果术后前房形成、眼压控制均取得满意的效果。结论复合式小梁切除术治疗原发性闭角型青光眼能很好的控制眼压、能形成长期有效的滤过道,并发症发生率低。

Objective To evaluate the effect of complex trabeculectomy in the treatment of primary angle-close glaucoma. Methods 56 cases （56 eyes） patients of primary angle-close glaucoma were performed complex trabeculectomy. Sponge with mitomycin C （0.2 mg/mL） was placed under the sclera flap for 3-5 min. Two releasable suture were made. The intraocular pressure,anterior chamber depth,filtering belbs,and vision were observed. The follow-up period ranged from 4 to 27 months. Results The formation of anterior chamber and the control of intraocular pressure were satisfied. Conclusion The methond of complex trabeculectomy controlled infraocular pressure effectively,made long-time filtering belbs,decreased postoperative complications in the treatment of primary angle-close glaucoma.