青光眼小梁切除联合可松解巩膜瓣缝线的临床体会

The clinical experience of trabeculectomy combined with the releasable suture of scleral flap of glancama

目的 :评价青光眼小梁切除联合可松解巩膜瓣缝线术的临床效果。方法 :随机选取原发性闭角型青光眼 36眼 ,均行小梁切除联合可松解巩膜瓣缝线术。结果 :同手术前 1日比 ,术后 3眼远视力提高 ,2 8眼远视力无变化 ,5眼远视力下降。术后 36眼前房立即形成 ,其中Ⅰ度浅前房 5眼 ,正常深前房 31眼。术后早期 6眼眼压 >15mmHg ,30眼眼压 6～ 14mmHg。术后第 1天、第 3天分别拆除单侧可松解巩膜瓣缝线 30眼 ;第 6～ 9天及第 12天 ,同时拆除两根可松解巩膜瓣缝线 30眼。结论 :同单纯小梁切除术报道情况比 ,小梁切除联合可松解巩膜瓣缝线术具有术后并发症少、疗效佳等优点。

Objective:To evaluate the clinical effect of trabeculectomy combined with the releasable suture of scleral flap of glaucoma.Mehtod:36 eyes suffering from primary angle-closure glaucoma were operated by trabeculectomy combined with the releasable suture of glaucoma.Results:Far Vision of 3 eyes increased and that of 28 eyes did not change while that of 5 eyes diminished after operation,compared with before operation.The anterior chambers of 36 eyes were immediately formed after operation.The anterior chambers of 5 eyes were shallow and the ones of 31 eyes were normally deep.The intraocular pressure(IOP)of 6 eyes was over 15mmHg early after operation;The IOP of 30 eyes was 6-14mmHg.The unilateral releasable sutures of scleral flap of 6 eyes were respectively removed the first day and the third day after operation while the bilateral ones of 30 eyes were done meanwhile.Conclusion:Compared with the reports of simply trabeculectomy,the trabeculectomy combined with the releasable suture of scleral flap had less complications and better effect.