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先天性青光眼为前房角发育异常,房水排出障碍,引起眼压增高的一种眼病,是儿童致盲的主要眼病之一。为探索简便易行且有效的手术,我科自1976年进行了小梁切除合并房角分离术(简称联合手术)治疗先天性青光眼,经1～16年观察,效果满意,现介绍如下: 一般资料本组病例67人,双眼58人,共125眼,男49人,女18人,男女之比近3:1:就诊年龄最小40天,初生时即发现角膜大及有症状者28人,3岁内发病55人,就诊年龄6个半月内29人,3岁内42人,6岁前54人。角膜直经为12～16mm,以13～14mm居多。在有眼压记录的109眼中,眼压正常21眼,23～35mmHg36眼,36～60mmHg48眼,60mg以上4眼。125眼接受手术136次,其中7眼2次手术,2眼3次手术。随访时间为1～10年。
Congenital glaucoma is an anterior chamber angle abnormalities, aqueous humor discharge disorder, caused by an increased intraocular pressure eye disease, is one of the major blinding eye diseases in children. To explore simple and effective surgery, our department since 1976 trabeculectomy combined with angle separation (referred to as combined surgery) for the treatment of congenital glaucoma, after 1 to 16 years of observation, the results are satisfactory, are as follows: General Information 67 cases of this group of patients, 58 eyes, a total of 125 eyes, 49 males and 18 females, the ratio of men and women nearly 3: 1: the youngest 40-day minimum age at birth, that corneal large and symptoms were 28, The incidence of 55 within 3 years of age, treatment age of 6 and a half months 29, 3 years old 42, 54 years before the age of 6. Corneal straight 12 ~ 16mm, mostly 13 ~ 14mm. Among the 109 eyes with intraocular pressure recorded, there were 21 eyes with normal intraocular pressure, 36 eyes with 23 ~ 35 mmHg, 36 eyes with 36 ~ 60 mmHg48, and 4 eyes with 60 mg or more. Of the 125 eyes who underwent 136 procedures, seven were operated twice and two were operated three times. Follow-up time of 1 to 10 years.