【摘要】 目的　评价外路小梁切开术（Ｌｕｎｔｚ 法） 治疗先天性青光眼的远期效果。方法　随访２９例（４７ 只眼） 行外路小梁切开术的先天性青光眼患者达５ 年以上。结果　应用寿命表法分析１ 次手术成功率：术后６ 、１２ 、１８ 及２４ 个月分别为７０ ．２ ％ 、６３ ．８ ％ 、５７ ．５ ％ 及５５ ．３％ 。眼压再次升高均发生在术后２ 年之内。１４ 只眼行２ 次小梁切开术，成功率为５０ ．０ ％ ，总成功率为７０ ．２ ％ ，成功者中只有１２ 只眼（３６ ．０ ％ ） 裸眼视力≥０ ．５ 。全部患眼的屈光状态均为近视，屈光度－ ０．５０ ～－ ２５．００Ｄ。结论　小梁切开术后随访重点应在术后２ 年之内。术后应及时纠正屈光不正性和屈光参差性弱视。更多还原

【Abstract】 Objective To assess the long term effect of extra trabeculectomy in treatment of congenital glaucoma. Methods 29 patients (47 eyes) with congenital glaucoma having undergone extra trabeculectomy were followed up for over 5 years. Results Success rates after single surgery were 70.2% at 6 months, 63.8% at 12 months, 57.5% at 18 months and 55.3% at 24 months. Re elevation of intraocular pressure (IOP) all happened within 2 years after surgery. 14 eyes underwent second trabeculectomy, and 7 eyes (50.0%) were successful the total success rate was 70.2%. The naked visual acuity of 12 eyes (36.0%) among successful eyes was ≥0.5. All the diseased eyes were myopic (-0.50～-25.00 D). Conclusion Follow up of trabeculectomy should be emphasized within 2 years after surgery. Ametropic and anisometropic amblyopia should be corrected promptly after surgery.更多还原