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目的探讨虹膜睫状体压后加小梁切除术联合丝裂霉素治疗绝对期青光眼和近绝对期青光眼的疗效。方法采用以角膜缘为基底的结膜瓣，12点钟做小梁切除术，在其两侧2mm处做虹膜睫状体压后术。三个术区分离好巩膜瓣后，用0．025％丝裂霉素棉片置巩膜瓣上下5分钟，生理盐水冲洗后先行虹膜睫状体压后，最后行小梁切除术。结果共手术21例，观察2～5年，视力提高13眼，眼压控制理想，无1例眼球摘除。结论晚期青光眼在常规手术无效或拟行眼球摘除术的患者采用本术式，可达到解除眼痛，保持眼球，维护仪容的目的，有临床实用价值。
Objective To investigate the curative effect of iridotomy and trabeculectomy in combination with mitomycin for absolute and near absolute glaucoma. Methods The corneal limbal conjunctival flap was used. The trabeculectomy was performed at 12 o’clock and the iris and ciliary body pressure was performed at 2mm on both sides. After separation of the three scleral flap surgery, with 0.025% mitomycin cotton flap affixed to the scleral flap up and down for 5 minutes, rinsed with saline iris ciliary body pressure before the final trabeculectomy. Results A total of 21 cases of surgery, observation of 2 to 5 years, visual acuity improved 13, intraocular pressure control ideal, no case of enucleation. Conclusions In patients with advanced glaucoma, which is ineffective in conventional surgery or enucleated by enucleation, this procedure can achieve the purpose of relieving eye pain, keeping the eyeball and maintaining the appearance of a patient. It is of clinical practical value.