小梁切除术后眼压未控制者再次手术的选择

Two different surgical methods for uncontrolled glaucoma after trabeculectomy

目的 探讨两种不同术式治疗小梁切除术后眼压未控制者的疗效.方法 小梁切除术后未控制者进行再次手术的35例（35眼）,其中A组选择复合小梁切除术,B组选择晶状体超声乳化吸出联合前房角分离术,术后随访3 ～ 20月,观察视力、眼压、前房深度、滤过泡形态、前房角、视野及OCT等指标.结果 两组术后皆能控制眼压.结论 依患者自身特点选择不同手术方案,皆取得良好效果.

Objective To compare the efficacy of two different surgical methods for uncontrolled glaucoma after trabeculectomy.Methods Thirty five eyes of 35 case of uncontrolled glaucoma after trabeculectomy were divided into two groups.The complex trabeculectomy was performed in group A,and patients in group B underwent phacoemulsification combined with goniosynechialysis.The results of vision,intraocular pressure,anterior chamber depth,filtering bleb,anterior chamber angle,visual field and OCT were compared in the two groups.The follow-up time was 3 months to 20 months.Results Both the two different procedures could control intraocular pressure of glaucoma patient failed in trabeculectomy. Conclusion Both the two surgical methods have good clinical efficacy for uncontrolled glaucoma after trabeculectomy.