作者对需作抗青光眼手术的患者改进了一种新的手术一大巩膜瓣下的巩膜灼滤术。手术方法如下(请参考示意图):局麻或全麻。放开睑器。按上直肌固定线,在上直肌止端处作1Q毫米的球结膜切口,巩膜瓣作成长方形,上界在上直肌止端前,下界进入清亮角膜内1毫米,厚度为巩膜瓣下之板层巩膜呈灰蓝色为宜。在巩膜瓣下板层巩膜表面散在轻轻地热灼,止血亦用热灼止血。在角膜缘12点处作横长5毫米巩膜半切开,然后烧灼巩膜半切开处,之后用刀片切通前房,或用烧灼器本身使前房开通。前房开通后用角巩膜剪扩大切口至5毫米。然后作虹膜周边切除,巩 The authors modified a new procedure for scleral sesameration under a large scleral flap for patients in need of anti-glaucoma surgery. Surgical methods are as follows (please refer to the schematic): local anesthesia or general anesthesia. Release the eyelid. Press the upper rectus muscle fixed line, at the end of the rectus abdominis for 1Q mm conjunctival incision, scleral flap for the rectangle, the upper bound in the upper rectus before the end, the lower bound into the clear cornea within 1 mm, the thickness of the scleral flap The plate sclera was gray-blue is appropriate. Scleral flap in the scleral surface scattered gently heat burning, bleeding is also used to stop bleeding. In the corneal limbus 12 o’clock for 5 mm scleral half-length incision, and then scleral half-incision, incision with a knife after the anterior chamber, or the scalp itself to open the anterior chamber. After the opening of the anterior chamber with scleral scissors to enlarge the incision to 5 mm. Then for iris resection, Gong