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目的评价睫状体冷冻术联合巩膜穿刺术在治疗绝对期青光眼中的应用。方法对绝对期青光眼47眼施行睫状体冷冻术联合巩膜穿刺术,观察术后3a内眼压变化。结果全部病例术后高眼压症都获缓解,对术后早期眼压反弹,本术较单纯施行睫状体冷冻术者控制眼压疗效好(P<0.01),且无副作用和并发症。结论睫状体冷冻术联合巩膜穿刺术是治疗绝对期青光眼更简便、安全、有效的手术选择。
Objective To evaluate the application of ciliary body cryosurgery combined with scleral puncture in the treatment of absolute glaucoma. Methods Forty - seven patients with absolute glaucoma underwent ciliary body cryosurgery combined with scleral puncture and the change of intraocular pressure (IOP) within 3 days after operation. Results All patients had postoperative intraocular hypertension were relieved, the early postoperative IOP rebound than the simple operation of ciliary body freezing intraocular pressure control effect (P <0.01), and no side effects and complications disease. Conclusion Ciliary body cryosurgery combined with scleral buckling is a simple, safe and effective surgical treatment for absolute glaucoma.