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我们把小梁切除与虹膜嵌顿术结合起来,保持圆瞳孔,设计了本术式。通过临床39例、48只眼的实践,现报告如下:临床资料:本组男性10例14眼,女性29例34眼,年龄17—82岁、平均57.2岁。急性闭角24例25眼,慢性闭角9例14眼,慢性单纯5例8眼,先天性青光眼1例2眼。手术方法:消毒麻醉、结膜瓣及巩膜瓣制备同小梁切除术。在巩膜瓣下角膜缘后缘鼻侧端水平切开4mm,用虹膜恢复器轻压切口后唇,虹膜根部即成丘状脱出。用虹膜镊轻提脱出虹膜顶部,用虹膜剪紧贴镊前横向剪开虹膜3—4mm,再从虹膜切缘的中央纵形向虹膜根部剪开,制成2个各有一个游离角的2×
We combine trabeculectomy and iris incarceration to maintain a circular pupil, designed this technique. Through the clinical practice of 39 cases, 48 eyes are reported as follows: Clinical data: The group of 10 males in 14 eyes, females in 29 cases 34 eyes, aged 17-82 years, mean 57.2 years. Acute angle closure in 24 cases of 25 eyes, 9 cases of chronic angle closure in 14 eyes, chronic simple in 5 cases 8 eyes, 1 case of congenital glaucoma in 2 eyes. Surgical methods: disinfection anesthesia, conjunctival flap and scleral flap preparation with trabeculectomy. Scleral flap in the posterior border of the corneal edge of the level of the lateral incision 4mm, with an iris rectifer gently incision lip, the iris root is mound prolapse. Iris tweezers light lift off the top of the iris, with the iris scissor tweezers before the transverse incision iris 3-4mm, and then cut from the iris edge of the central longitudinal iris root cut to make two have a free angle of 2 ×