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寻找一种新的抗青光眼滤过手术。方法 从上方角膜缘内1mm处横行切开4 mm,深达1/2角膜厚度。再向巩膜方向分离至角膜缘后3 mm处,形成一巩膜袋。将袋的底部穿刺至结膜下,并将袋的底部巩膜切开一长约2mm×2mm的缺口,形成滤过道的外口。在角膜缘做常规小梁切除术,作为滤过道的内口。结果 10例患者术后球结膜滤泡明显,眼压均控制在正常范围。结论 该手术方式是一种新的,有效的抗青光眼滤过性术式,避免了常规手术球结膜损伤所致滤过道瘢痕引起的手术失败。
Looking for a new anti-glaucoma filtration surgery. Methods From the top of the corneal limbus 1mm transverse incision 4 mm deep as far as 1/2 corneal thickness. Separation to the scleral direction and then to the limbus after 3 mm, forming a scleral pocket. The bottom of the bag punctures to the subconjunctival, and the bottom of the bag sclera incision length of about 2mm × 2mm gap, the formation of filter the outer mouth. Conventional trabeculectomy in the limbus, as the internal passage of the filter tract. Results 10 cases of conjunctival follicles after surgery significantly, intraocular pressure were controlled in the normal range. Conclusion The surgical approach is a new and effective anti-glaucoma filtering technique, which avoids the surgical failure caused by the scar of the trachea caused by the conventional surgical conjunctiva injury.