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我科近年来应用显微手术技术,开展小梁切开、切除术联合巩膜瓣下虹膜嵌顿术,治疗常见类型的青光眼38例50只眼,其中先天性青光眼7例(10眼)、原发性开角型青光眼5例(7眼)、急性闭角型青光眼12例(16眼)、慢性闭角型青光眼7例(10眼)、继发性青光眼7例(7眼),取得较好效果。术后经六个月至二年的随访观察,认为是一种比较理想的抗青光眼手术。一、手术方法1.球结膜切口:上直肌牵引固定缝线后,常规采用以穹窿部为基底的经角膜缘切开法,手术在显微镜下进行(5×),切口力求整齐,分离时避免损伤结膜瓣。
In recent years, our department applied microsurgical techniques to open trabeculectomy combined with scleral buckling and iris incarceration to treat 38 cases of 50 types of common glaucoma, of which 7 cases (10 eyes) had congenital glaucoma, 5 cases (7 eyes) with open angle glaucoma, 12 eyes with acute angle closure glaucoma (16 eyes), 7 eyes with chronic angle closure glaucoma (7 eyes), 7 eyes with secondary glaucoma (7 eyes) Good effect. After six months to two years follow-up observation, that is an ideal anti-glaucoma surgery. First, the surgical approach 1. Bulb conjunctiva incision: traction traction on the rectus suture, the conventional use of the fornix by the corneal incision, the surgery under a microscope (5 ×), the incision to strive for tidy, separation Avoid damage to the conjunctival valve.