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目的 观察非穿透性小梁切除术联合人羊膜植入的临床效果。方法 对18例(30眼)中、晚期开角型青光眼进行非穿透性小梁切除术联合人羊膜植入,术后观察视力、视野、眼压及滤过泡形成情况。结果 术后随访3-9月,视力、视野稳定,眼压≤20mmHg(1mmHg=0.133kPa),滤过泡形成良好,并发症少。结论 非穿透性小梁切除术联合人羊膜植入治疗开角型青光眼,能有效降低眼压,形成功能性滤过泡和并发症少等优点,是治疗开角型青光眼较理想的方法。
Objective To observe the clinical effect of non-penetrating trabeculectomy combined with human amniotic membrane implantation. Methods Eighteen patients (30 eyes) with advanced open-angle glaucoma underwent nonperforating trabeculectomy combined with amniotic membrane implantation. Visual acuity, visual field, intraocular pressure and formation of filtration bleb were observed. Results Three to nine months after operation, visual acuity and visual field were stable. IOP was less than or equal to 20mmHg (1mmHg = 0.133kPa), and the bleb formation was good with less complications. Conclusion Non-penetrating trabeculectomy combined with human amniotic membrane implantation in the treatment of open-angle glaucoma can effectively reduce the intraocular pressure, form a functional filtering bleb and has fewer complications. It is an ideal method for the treatment of open-angle glaucoma.