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原发性青光眼是涉及局部和全身的多因素疾病,应结合手术、全身和局部用药进行综合性治疗。在其发生和发展中,局部因素起重要作用,开角型青光眼的发病与小梁增厚、小梁间隙变窄、Schlemm管和收集管的缩细等房水引流系统的营养不良改变及小梁的功能性阻滞有关。而闭角型青光眼主要是瞳孔阻滞、虹膜根部所引起的房角阻滞所致。青光眼局部机理的阐明,促进了手术治疗。一、手术治疗(一)手术方式:在小梁切除术应用之前,一般都采取传统的术式。在过去25年作者所作的三千多次滤过术中,包括虹膜小叶嵌顿术(lobular iridencleisis)、改良的虹膜内虹膜嵌顿术、
Primary glaucoma is a multifactorial disease involving both the local and systemic and should be treated in combination with surgery, systemic and topical therapy. In its occurrence and development, local factors play an important role in the pathogenesis of open-angle glaucoma and trabecular thickening, narrowing of the trabecular meshwork, Schlemm tube and the narrowing of the collection tube and other aqueous humor drainage system of malnutrition and trabecular Functional block related. The angle-closure glaucoma is the main pupil block, caused by the iris root corner block caused. The clarification of the local mechanism of glaucoma promotes surgical treatment. First, the surgical treatment (A) surgical methods: In trabeculectomy applications, generally have to take the traditional surgical procedures. More than three thousand plethysmithies by the authors in the past 25 years have included lobular iridencleisis, improved intraocular iris incarceration,