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作者应用睫状体剥离合并自睫状体平部切除玻璃体成功地治疗4例4眼慢性闭角型青光眼。术前检查,前房角镜所见:4例中1例前房角颞侧象限呈窄角开放,其余象限为周边前粘连。其它3例的前房角全周呈周边前粘连。视野:4例均缩小。眼压:4例均施行过周边虹膜切除术及小梁切除术1～3次,3例虽经联合用药眼压仍不能控制在20mmHg以下,其中1例眼压虽在20mmHg以下,但视野仍进行性缩小,故仍有必要进一步降低眼压。手术方法:在10:30钟方向距角膜缘5mm与角膜缘平行作一长约10mm之球结膜切口,暴露
The authors successfully treated 4 patients with chronic angle-closure glaucoma by ciliary body debridement and vitrectomy from the ciliary body. Preoperative examination, gonioscopy seen: 4 cases in 1 case of the temporal quadrant of the anterior chamber angle was open at a narrow angle, the remaining quadrants for the peripheral adhesions. The other three cases of the anterior chamber angle around the peripheral adhesions. Vision: 4 cases were reduced. Intraocular pressure: 4 cases were performed peripheral iridectomy and trabeculectomy 1 to 3 times, although 3 cases by the combination of intraocular pressure IOP still can not be controlled below 20mmHg, including 1 case of intraocular pressure although below 20mmHg, but the visual field is still Progressive reduction, it is still necessary to further reduce intraocular pressure. Surgical methods: at 10:30 in the direction of the limbus from the limbus 5mm parallel to the limbus for a length of about 10mm conjunctival incision, exposure