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目的探讨后巩膜开窗加视神经切断术式治疗绝对期青光眼的临床效果。方法对92例92眼进行后巩膜开窗加视神经切断术,观察术后疗效,术后随访3个月～6年。结果术后保留完整眼球,均无视力,1例术后6年眼压再次升高,1例术后1年轻度眼球萎缩。无交感性眼炎发生。结论后巩膜开窗加视神经切断术方法简单、易操作,术后疗效好,治愈率高。
Objective To investigate the clinical effect of posterior scleral fenestration and optic nerve resection for absolute glaucoma. Methods Ninety - two eyes of 92 eyes underwent scleral fenestration and optic nerve transection, and the curative effect was observed. The patients were followed up for 3 months to 6 years. Results The complete eyeball was preserved after operation. No intraocular pressure was found in one patient. Intraocular pressure was increased again in 6 patients after operation and mild atrophy was observed in 1 patient at 1 year after operation. No sympathetic ophthalmia occurred. Conclusions Scleral fenestration plus optic nerve resection method is simple, easy to operate, good postoperative efficacy, high cure rate.