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目前国内外许多学者正在研究青光眼的治疗问题,并探索更有效的手术方法。我们从1964年起,在现有青光眼的手术治疗基础上,开展一种新的滤过手术。即在角膜缘处作一楔形巩膜部分切除,形成一楔形沟,在此沟内以直径1毫米的小环钻作两个钻孔,在此孔内再各作1个周边虹膜切除,称此为沟内钻孔降压术。我们共观察了28只各型青光眼的治疗,效果良好,介绍如下。手术方法:常规消毒,球后和球结膜下浸润麻醉,再加表面麻醉。同时滴用缩瞳剂,使瞳孔缩小,以便更好地作周边虹膜切除。
At present, many scholars at home and abroad are studying the treatment of glaucoma and exploring more effective surgical methods. We started from 1964 on the basis of the existing surgical treatment of glaucoma, to carry out a new filtration surgery. That is, at the limbus for a wedge-shaped scleral resection, the formation of a wedge-shaped groove, in this groove with a diameter of 1 mm for drilling two small holes in the hole and then make a peri-iris resection, said this Holes for drilling blood pressure surgery. We observed a total of 28 types of glaucoma treatment, the effect is good, described below. Surgical methods: conventional disinfection, ball and subconjunctival infiltration anesthesia, plus surface anesthesia. At the same time drop with miotic agent, so that the pupil shrink in order to better peripheral iridotomy.