【摘要】 目的探讨在青光眼持续性高眼压状态下对传统小梁切除术所做的部分改进的有效性和安全性。方法对47例(47眼)青光眼持续性高眼压状态下行传统小梁切除术,但在传统小梁切除术的基础上做了一些改进,如:术前前房穿刺有效快速的降低眼内压,术中亦可经穿刺口放液缓慢降眼压,小剂量球周浸润麻醉,关闭结膜切口时不缝合筋膜层,术后合理用药,必要时配合眼球按摩以形成有效滤过泡,术后随访6个月。结果 47眼手术顺利,无严重并发症;除2眼新生血管性青光眼术前无光感,术后眼压波动在18～36 mmHg外,其它45眼均效果满意,其中42眼(89.36%)术后不用抗青光眼药物,眼压稳定在10～21 mmHg,3眼(6.38%)加用抗青光眼药物眼压控制正常。结论经过改进后的传统小梁切除术在青光眼持续性高眼压状态下进行治疗仍然是有效和安全的。更多还原

【Abstract】 Objective To investigate the effectiveness and safety of technical improvements in traditional trabeculectomy under constant high intraocular pressure state of glaucoma.Methods 47 patients(47 eyes) with glaucoma persistent ocular hypertension down the traditional trabeculectomy,trabeculectomy in the traditional basis made some improvements,such as: anterior chamber puncture fast and effective reduction of intraocular pressure Intraoperative fluid can be placed through the puncture slow down the intraocular pressure,low-dose peribulbar anesthesia,does not close the conjunctival incision suture fascia,after rational drug use,if necessary,to form an effective massage with eye bleb.After surgery,45 of 47 patients were followed-up by regular visits for 6 months.Results All of these operations were successful without any serious complications.Two eyes of neovascular glaucoma which had no light perception preoperatively had intraocular pressure fluctuations in the 18 ~ 36 mmHg.Surgery effect in 45 eyes were satisfactory,42 of them(89.36%) did not need antiglaucoma medication and IOP was stable at 10 ~21 mmHg;3 of them(6.38%)were administed antiglaucoma drugs and IOP was controlled.Conclusion It is effective and safe to implement improved traditional trabeculectomy under the constant high intraocular pressure state.更多还原