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巩膜瓣下房角环钻术治疗青光眼,最初系于1968年由Fronimopoulos及Chilaris提出,作者于1971年开始将此作为常规手术,6年来共作407眼,随访306眼,其中开角型192眼,慢性闭角型56眼,继发性58眼。手术方法:结膜瓣高10.5mm以上,暴露8—10mm宽的角巩缘,制成4×5mm、1/2厚度、以角巩缘为基底的巩膜瓣,分劈到角巩缘内1mm,再在角巩缘兰白色交界处用1.0—1.5mm之环钻钻孔(在角膜直径小及房角窄的眼钻孔部位应稍偏前以免损伤睫状体引起出血),周边虹膜切除,巩膜瓣缝合2针,结膜瓣连续缝合,在虹膜切除后立即开始用0.3％东莨菪碱液及1％
Scleral flap anterior chamber angle drilling in the treatment of glaucoma was first proposed by Fronimopoulos and Chilaris in 1968. The author started this routine operation in 1971. There were 407 eyes and 306 eyes were followed up for 6 years. , 56 eyes with chronic angle closure and 58 eyes with secondary. Surgical methods: conjunctival flap 10.5mm above, exposed 8-10mm wide angle margins, made of 4 × 5mm, 1/2 thickness, the angle of the scleral margin as the base of the scleral flap, split into the angle of the margins of 1mm, And then at the corner of the junction margin of white orchids with 1.0-1.5mm ring drilling (small diameter cornea and narrow angle of the eye hole should be slightly before the site to avoid damage to the ciliary body caused by bleeding), peripheral iris resection, Scleral flap suture 2 needle, conjunctival flap for sutured immediately after iris excision with 0.3% scopolamine solution and 1%