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目的观察复合小梁切除术治疗青光眼的临床效果。方法对45例(50眼)各类型青光眼实施复合小梁切除术,观察术后前房、眼压、视力、术后滤过泡形成及其他并发症的情况。结果术后浅Ⅱ级前房4眼,1 a内眼压控制在7～21 mmHg(1 mmHg=0.133 kPa)以内49眼,需药物控制1眼,功能性滤过泡48眼,术后视力不变或提高48眼。结论复合小梁切除术不仅能够调整滤过功能,很好地控制眼压,而且减少了术后并发症的发生,提高了青光眼的手术效果。
Objective To observe the clinical effect of compound trabeculectomy in the treatment of glaucoma. Methods Combined trabeculectomy was performed in 45 cases (50 eyes) of all types of glaucoma. Anterior chamber, intraocular pressure, visual acuity, postoperative filtering bleb formation and other complications were observed. Results After operation, 4 eyes of shallow Ⅱ grade anterior chamber and 1 case of intraocular pressure were controlled in 49 eyes of 7-21 mmHg (1 mmHg = 0.133 kPa). One patient needed drug control and 48 eyes had functional filtration bleb. The postoperative visual acuity Unchanged or increased 48 eyes. Conclusion Combined trabeculectomy can not only adjust the filtration function, control intraocular pressure well, but also reduce the incidence of postoperative complications and improve the surgical effect of glaucoma.