青光眼复合式小梁切除术疗效观察

Clinical observation of compound trabeculectomy for glaucoma

目的:观察复合式青光眼小梁切除术后临床效果。方法:青光眼39例42眼术中采用局部浸润麻醉,抗代谢药物(MMC)、可调节缝线、术毕前房注入消毒空气后,观察术后眼压、滤过泡及前房形成情况,随访3～24mo。结果:局部浸润麻醉效果好,42眼于3～14d拆除可调节缝线,注入消毒空气术后前房形成快,仅2眼形成浅前房,经处理前房迅速恢复。结论:复合式小梁切除术提高了青光眼手术成功率,有效减少了术后并发症。

AIM; To investigate the clinical effect of compound trabeculectomy for glaucoma. METHODS. A total of 39 cases 42 eyes undertook compound trabeculectomy with MMC and adjustable suture line. Intraoculer pressure, the filtering bleb and the depth of anterior chamber were observed. The follow-up period was 3-24 months. RESULTS：The adjustable suture lines of 42 eyes were removed 3-14 days after the surgery. The shallow anterior chamber after operation were observed in 2 eyes. After proper management, shallow anterior chamber returned to normal depth in all cases. CONCLUSION Compound trabeculectomy can increase the success ratio of the surgery and reduce the incidence of complications.