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迄今对闭角型青光眼的治疗主要还是依靠手术方法。随着对青光眼发病机理认识的提高和手术器械的革新和应用,许多学者注意建立Schlemm氏管通畅和辅以巩膜瓣下引流这种更接近房水排出生理途径的手术。目前大多数医生采用Cairns(1968)[1]首创的小梁切除术或其改进术式。我们把手术显微镜下切除小梁,改用苏州医疗器械厂生产的巩膜咬切器咬除1.5mm长的包括Schlemm氏管在内的深层巩膜组织。本文报导我科82眼深层巩膜咬切术随访观察3～7年的疗效结果:
So far the treatment of angle-closure glaucoma mainly rely on surgical methods. With the increasing understanding of the pathogenesis of glaucoma and the innovation and application of surgical instruments, many scholars pay attention to the establishment of Schlemm’s canal patency combined with drainage under the sclera flap, which is closer to the physical drainage of aqueous humor. At present, most doctors use Cairns (1968) [1] pioneered trabeculectomy or its improved operation. We removed the trabeculae under a surgical microscope and switched to a 1.5 mm long deep scleral tissue, including the Schlemm’s canal, using a sclera bite device manufactured by Suzhou Medical Device Factory. This article reports 82 cases of deep scleral bite resection in our department were followed up for 3 to 7 years of efficacy results: