复合式小梁切除术治疗青光眼持续高眼压26例临床分析

Clinical analysis of compound trabeculectomy for treatment of glaucoma with persistent high intraocular pressure:a report of 26 cases

摘要: 目的:探讨复合式小梁切除术治疗青光眼持续高眼压的疗效。方法:对26例(26眼)术前眼压控制不良的青光眼患者行复合式小梁切除术。结果:26例手术均顺利完成,未出现爆发性脉络膜上腔出血、玻璃体脱出等并发症。术后随访2~12个月,23例眼压控制在10~21mmHg;20眼视力较术前有所提高。结论:复合式小梁切除术治疗青光眼持续高眼压是安全有效的。

Abstract: Objective:To explore the value of compound trabeculectomy in treatment of glaucoma with persistent high intraocular pressure(IOP).Methods:Twenty-six cases (26 eyes) of uncontrolled glaucoma were treated with compound trabeculectomy.Results:The operation was successful in all the cases.No perichoroidal space bleeding or prolapse of vitreous occurred.During the follow-up of 2-12 months,the IOP was less than 21 mmHg in 23 eyes.The vision of 20 eyes was improved.Conclusions:Compound trabeculectomy is safe and effective for glaucoma with persistent high IOP.