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青光眼滤过性手术的目的在于重新建立和维持一个眼外通道,将房水引至此通道而排出眼外,使眼压下降。排出道的成纤维细胞增殖、胶原蛋白沉积,是手术失败的主要原因。作者试图增强皮质类固醇的抗炎和抑制成纤维细胞的增殖作用,在手术结束时,用高剂量的水溶性皮质类固醇(地塞米松3.6mg)直接注入滤过处的球筋膜囊内。方法:所有患者均为药物不能控制高眼压而选择滤过性手术。手术作以穹窿部或角膜缘为基底之结膜瓣,常规小梁切除术或青光眼-
The purpose of glaucoma filtration surgery is to re-establish and maintain an extraocular channel, the aqueous humor led to this channel and the eye, the intraocular pressure drop. Discharge tract fibroblast proliferation, collagen deposition, the main reason for the failure of surgery. The authors sought to enhance the anti-inflammatory and fibroblast proliferative effects of corticosteroids. At the end of the procedure, high-dose water-soluble corticosteroids (dexamethasone 3.6 mg) were injected directly into the fascia of the coronoid labyrinth. Methods: All patients were drug-selective hypertensive intraocular pressure and selective filtering surgery. Surgery for conjunctival flap based on fornix or limbus, conventional trabeculectomy or glaucoma-