青光眼复合式小梁切除术的临床观察

Clinical observation of the effect of combined trabeculectomy for glaucoma

目的:观察复合式小梁切除术治疗青光眼的疗效和并发症。方法:施行复合式小梁切除术治疗青光眼122例132眼,观察术后眼压、滤过泡、视力及并发症,随访1a。结果:术后早期出现出现浅前房7眼,浅前房发生率5.3%。术后1a眼压平均16.7mmHg,118眼形成功能性滤过泡,占89.4%,手术成功率98.5%。结论:复合式小梁切除手术成功率及安全性高,并发症少。

AIM：To investigate the effect of combined trabeculectomy for the patients with glaucoma and its complications. METHODS： From January 2008 to December 2008, 122 patients （ 132 eyes ） were performed combined trabeculectomy in our hospital. The postoperative intraocular pressure, filtration follicles, vision and complications of the patients were reviewed and they were followed up for one year. RESULTS： Postoperative shallow anterior chamber took place in 7 eyes, the incidence rate of shallow anterior chamber was 5. 3% after combined trabeculectomy in early period, the average intraocular pressure were 16. 7mmHg after one year, the success rate of operation was 98. 5%, and 118 eyes （89. 4%）had formed the functional filtration follicles. CONCLUSION： Combined trabeculectomy has less complications, high success rate and safety.