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目的观察探讨复合青光眼滤过术(小梁切除联合丝裂霉素C、粘弹剂及可调节缝线)治疗原发性青光眼的效果。方法对治疗的43例(56眼)原发性青光眼行复合式青光眼滤过术。结果术后随访3～15月,平均6月。56眼中除3眼眼压控制不稳定,滤过形成不明显,经可调节缝线拆除,滤过泡针刺重建,配合滤过泡按摩,药物治疗后眼压控制在21mmHg以下,余均控制在9～16mmHg(目标眼压:不再使视野继续受到损害的眼压)。观察术前术后视野变化,未发现视野进行性损害。结论复合式青光眼滤过术能够明显地防止术后早期的低眼压、浅前房及后期的滤过泡疤痕化,可以调节房水滤过量,减少并发症发生,提高手术成功率。从而获得正常、持续、稳定的眼压。
Objective To investigate the effect of compound glaucoma filtration (trabeculectomy combined with mitomycin C, viscoelastic agent and adjustable suture) in the treatment of primary glaucoma. Methods Forty-three cases (56 eyes) of primary glaucoma underwent composite glaucoma filtration. Results Postoperative follow-up 3 to 15 months, an average of 6 months. 56 eyes in 3 eyes intraocular pressure control instability, the formation of filtration was not obvious, the sutures can be removed by the adjustment, the filter needling acupuncture reconstruction, with filtering foam bubble massage, intraocular pressure after drug treatment control in 21mmHg or less, the remaining control At 9-16 mmHg (target intraocular pressure: IOP no longer impaired intraocular pressure). Visual observation of preoperative and postoperative changes, no progressive visual field damage was found. Conclusions Compound glaucoma filtration can obviously prevent the low intraocular pressure (IOP) and the scarring of the bleb in the short anterior chamber and the postoperative period. It can regulate the filtration of aqueous humor, reduce the complication and improve the success rate of operation. To obtain a normal, sustained and stable intraocular pressure.