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目的研究原发性闭角型青光眼(PACG)持续高眼压下复合式小梁切除术的临床效果。方法对43例(46只眼)眼压控制不良的原发性闭角型青光眼进行复合式小梁切除术。结果46只眼手术均顺利,术后3～12个月跟踪随访,39眼眼压控制在8.00～21.00mmHg,7眼眼压>21.00mmHg,其中6眼需局部应用降眼压药物控制到正常,1眼二次手术后平稳。手术成功率约84.78%。结论原发性闭角型青光眼持续高眼压下行复合式小梁切除术是安全有效的。
Objective To investigate the clinical effect of combined trabeculectomy with continuous high intraocular pressure (PACG) on primary angle-closure glaucoma (PACG). Methods Composite trabeculectomy was performed in 43 cases (46 eyes) of primary angle-closure glaucoma with poor intraocular pressure control. Results All the 46 eyes were followed up 3 to 12 months after operation. The intraocular pressure of 39 eyes was controlled at 8.00-21.00 mmHg and the intraocular pressure was 21.00 mmHg at 7 eyes. Six of them required topical ocular hypotensive drug control , 1 eye after the second surgery was stable. Surgical success rate of about 84.78%. Conclusions Primary angle-closure glaucoma with continuous high intraocular pressure and multiple trabeculectomy is safe and effective.