同时行双眼小梁切除术的临床观察

Clinical observation of simultaneously binocular trabeculectomy

目的观察同时行双眼小梁切除术的疗效和风险情况。方法 17例(34眼)原发性闭角型青光眼患者同时行双眼小梁切除术,术后观察视力、眼压、前房、滤过泡及并发症等情况,并与同期完成的17例(34眼)双眼分次行小梁切除术的患者做对照。结果同时行双眼小梁切除术与双眼分次行小梁切除术之间在术后视力、眼压及并发症等方面差异无统计学意义(P>0.05)。结论同时行双眼小梁切除术在临床上是安全可行的,但应严格掌握适应证。

Objective To observe the efficacy and risks of simultaneously binocular trabeeulectomy. Methods There were 17 patients （34 eyes） of primary angle closure glaucoma recevied simultaneously binocular trabeculeetomy. Visual acuity, intraocular pressure, anterior chamber, bleb and complications were observed after the operation. Comparison was made with 17 cases （34 eyes） received staged trabeculectomy. Results There were no significant difference of postoperative Visual acuity, intraocular pressure and complications between simultaneously binocular trabeculectomy and staged trabeculectomy （P〉O.05）. Conclusion Simultaneously binocular trabeculectomy is feasible and safe, but it should be strictly controlled by indications.