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我们参考有关文献从1982年1月至1984年7月,将虹膜根部嵌在巩膜板层之间治疗窄角型青光眼20例。其中,瞳孔在6mm 以内者14例,6mm 以上者6例。经两年的临床观察,效果满意,随访病人,眼压均控制在正常范围内,且保持了术前的视功能。手术方法1.术前3天调整瞳孔大小,要求保持在5～6mm。2.常规麻醉。3.在距角膜缘8mm 的1点或11点处,做一以角膜缘为基底、大约10×8mm 大小的结膜瓣。4.做一长约6×5mm 的巩膜瓣,其厚度约为巩膜全厚的1/3或2/5。
We refer to the literature from January 1982 to July 1984, the iris root embedded in the scleral plate between the treatment of 20 cases of narrow-angle glaucoma. Among them, the pupil within 6mm in 14 cases, 6mm above 6 cases. After two years of clinical observation, the results were satisfactory, follow-up patients, intraocular pressure were controlled within the normal range, and to maintain the preoperative visual function. Surgical methods 1. 3 days before surgery to adjust pupil size, required to maintain at 5 ~ 6mm. 2. General anesthesia. 3. At 1 o’clock or 11 o’clock, 8 mm from the limbus, make a conjunctival flap approximately 10 × 8 mm in size based on the limbus. 4. Do a length of about 6 × 5mm scleral flap, the thickness of the scleral full thickness of about 1/3 or 2/5.