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能获得滤道通畅的功能性滤泡是青光眼眼外引流术成功的关键。诸多学者对青光眼引流术后滤过泡瘢痕化有很多预防方法和补救措施,但用透明质酸钠(Healon)巩膜层间充填的昂贵费用和用抗代谢药物的一系列并发症也不尽人意。我们在巩膜瓣缝线松解术的启发下,采用大巩膜瓣,多缝线的巩膜层间埋藏法,即改良式双瓣下巩膜咬切术,治疗急、慢性闭角型青光眼147例(196眼),随访6月~2年,治愈率97.73%,疗效满意,现报告如下:
The functional follicles that make the filter tract unobstructed are the key to the success of glaucoma extraocular drainage. Many scholars have many preventive measures and remedies for scarring of bleb after glaucoma drainage. However, the costly interstitial scleral filling with sodium alginate and the series of complications with antimetabolites are also not satisfactory . Inspired by the scleral flap suture release, we adopted the scleral intercalary burial method of large scleral flap and multi-suture, that is, modified double-flap under sclera bite resection to treat 147 cases of acute and chronic angle-closure glaucoma 196 eyes), followed up for 6 months to 2 years, the cure rate was 97.73%, with satisfactory results, the report is as follows: