我们自1974年开始应用巩膜下巩膜灼滤术治疗青光眼30例33只眼,效果较好,现报道如下:手术方法1.按内眼手术常规做术前准备。2.常规消毒铺消毒巾。3.置开睑器,以2%普鲁卡因加肾上腺素少许行上方球结膜下麻醉,亦可加球后麻醉。4.距角膜缘7～8毫米,自10～2点弧形剪开球结膜与筋膜囊,以镊子自创口处向上夹住上直肌并做一牵引缝线,使眼球下转并固定之。5.充分分离结膜瓣达角膜缘至清楚暴露为止。6.充分暴露手术部位之巩膜,遇出血可以肾上腺素棉片压迫止血,或以灼热的大头针止血。7.距角膜缘约4毫米处层间切开并分离巩膜。行巩膜层间分离深约0.3毫米,长约5毫米直至进入角膜组织约1毫米即可,如此获得一长方形板层巩膜瓣。8.适 We since 1974, the application of scleral scleral filtering surgery in 30 cases of glaucoma 33 eyes, the effect is better, are reported as follows: Surgical methods 1. According to conventional intraocular surgery preoperative preparation. 2. General disinfection shop disinfection towel. 3. Set aside the eyelid device to 2% procaine plus epinephrine ball above the subconjunctival anesthesia can also add the ball after anesthesia. 4. From the corneal edge of 7 to 8 mm, from 10 to 2 arc cut the bulb conjunctival and fascia sac, tweezers self-made mouth upward clamping the upper rectus muscle and do a traction suture, the eye turn and Fixed it. 5. To fully separate the conjunctival flap up to the corneal edge until it is clearly exposed. 6 full exposure to the sclera of the surgical site, bleeding in case of epinephrine cotton compression hemostasis, or with a hot pin to stop bleeding. 7. Cut and separate the sclera at about 4 mm from the limbus. Scleral line separation between the depth of about 0.3 mm, about 5 mm until the corneal tissue into about 1 mm, so get a rectangular lamellar scleral flap. 8. Fit