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我们在进行巩膜面缝合之白内障手术基础上,近年开展小梁切除或巩膜下咬切联合晶体摘出术,治疗了15例16眼青光眼并发白内障,或白内障继发青光眼病例,效果满意。兹作介绍。一、方法 (一)术前准备与麻醉术前用高渗剂(20％甘露醇,用量视体重及眼压而定)将眼压降至1.5kPa上下。清洁消毒与麻醉同常用白内障手术。 (二)手术步骤①开睑、固定上直肌和作结膜瓣同常用白内障术式。②于上方巩膜面3～9点时钟方位作一高4mm、1/3厚度之巩膜瓣,并分离进角膜缘0.5mm。③均匀预置5根巩膜瓣缝线。④
On the basis of cataract surgery of scleral suture, we performed trabeculectomy or scleral buckling combined with crystal extraction in recent years to treat 15 cases of glaucoma complicated with cataract or cataract secondary to glaucoma. The results were satisfactory. I hereby introduce. First, the method (a) preoperative preparation and anesthesia with hypertonic agent (20% mannitol, depending on weight and intraocular pressure may be) will be down to 1.5kPa up and down. Cleaning and disinfection with anesthesia with cataract surgery. (B) surgical procedures ① open eyelid, upper rectus and conjunctival flap with common cataract surgery. ② scleral surface of the upper 3 to 9 o’clock position for a high 4mm, 1/3 the thickness of the scleral flap, and separated into the limbus 0.5mm. ③ evenly preset 5 scleral flap suture. ④