高眼压下青光眼滤过手术的临床观察

Clinical study on the trabeculectomy in high intraocular pressure.

目的 探讨高眼压下青光眼小梁切除术的疗效。方法 对 32例 (36眼 )应用药物治疗不能控制眼压的青光眼患者 ,采取术中先缓慢降压的方法 ,进行青光眼小梁切除术。结果 术后矫正视力无光感 1眼 ,光感～数指 5眼 ,0 0 2～ 0 2 5者 1 1眼 ,≥ 0 3者 1 9眼。术后眼压≤ 1 6mmHg者 2 4眼 ,1 7～ 2 2mmHg者 9眼 ,2 3～ 30mmHg者 3眼。结论 对于药物不能有效控制眼压的青光眼患者 ,在高眼压下采取必要措施 。

Objective To evaluate the effect of trabeculectomy in high intraocular pressure.Methods The trabeculectomy was performed on thirty two cases(36 eyes) uncontrolled intraocular pressure with drug.Results The visual acuity after operation was NLP in one eye,LP～CF in five eyes,0 02～0 25 in eleven eyes,over 0 3 in ninteen eyes.The postoperative intraocular pressure was below 16 mmHg in twenty-four eyes.17～22 mmHg in nine eyes,23～30 mmHg in three eyes.Conclusion The trabeculectomy may be a good alternative in treating glaucoma of uncontrolled intraocular pressure with drug.