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目的探讨持续高眼压状态下闭角型青光眼小梁切除术临床疗效。方法对31例(31眼)眼压控制不良的闭角型青光眼患者进行小梁切除术,观察视力、眼压、并发症和手术效果。结果手术均顺利,无严重并发症发生。术后视力提高者20眼,视力不变9眼,视力下降2眼。术后不用任何降眼压药物眼压控制<21 mm Hg者19眼,需局部用药方可控制者10眼。结论闭角型青光眼高眼压状态下及时进行小梁切除术是安全的,能挽救患者的视功能,但手术过程中应注意手术技巧,避免并发症的发生。
Objective To investigate the clinical effects of angle-closure glaucoma trabeculectomy under continuous high intraocular pressure (IOP). Methods Thirty - one patients (31 eyes) with closed - control glaucoma with poor intraocular pressure were treated with trabeculectomy. Visual acuity, intraocular pressure, complications and operative effects were observed. Results The operation was smooth, no serious complications occurred. Postoperative visual acuity 20 eyes, 9 eyes unchanged, 2 eyes decreased vision. Postoperative intraocular pressure without any ocular hypotensive drugs controlled intraocular pressure <21 mm Hg in 19 eyes, the need for local control before the control of 10 eyes. Conclusions Angle-closure glaucoma under trabeculectomy with high intraocular pressure is safe and can save the patient’s visual function. However, surgical techniques should be taken to avoid the complications.