CAJ | 학술논문

目的：评价青光眼小梁切除术的改进治疗原发性闭角型青光眼的临床效果。方法：对114例114眼原发性闭角型青光眼行小梁切除改进术，术中剥离巩膜瓣进入透明角膜1mm，并在巩膜瓣下注入玻璃酸钠形成前房。术后观察眼压、前房、滤过泡、视力及并发症发生情况，术后随访1～6 mo。结果：术后无持续性浅前房发生；眼压控制在理想范围；均可形成功能性滤过泡；视力术后与术前有明显差异。结论：青光眼小梁切除术的改进能很好的控制眼压，能减少并发症的发生，术式简单易行，效果稳定可靠，手术成功率高，是理想的术式选择。
목적：평개청광안소량절제술적개진치료원발성폐각형청광안적림상효과。방법：대114례114안원발성폐각형청광안행소량절제개진술，술중박리공막판진입투명각막1mm，병재공막판하주입파리산납형성전방。술후관찰안압、전방、려과포、시력급병발증발생정황，술후수방1～6 mo。결과：술후무지속성천전방발생；안압공제재이상범위；균가형성공능성려과포；시력술후여술전유명현차이。결론：청광안소량절제술적개진능흔호적공제안압，능감소병발증적발생，술식간단역행，효과은정가고，수술성공솔고，시이상적술식선택。
AIM: To evaluate the clinical effect of modified trabeculectomy for primary angle-close glaucoma. METHODS: The modified trabeculectomy was performed on 114 cases ( 114 eyes ) with primary angle-closure glaucoma.Lamellar sclera incision extended 1mm into clear corneal. Sodium hyaluronate was injected under sleral flap to deepen anterior chamber.Intraocular pressure ( IOP) , anterior chamber depth, filtering blebs, vision and complications were observed.The follow-up period ranged from 1 to 6 months. RESULTS:Shallow anterior chamber was not occurred postoperatively.IOP was controlled in an ideal range. Functional blebs could form. Postoperative and preoperative visual acuity was significantly different. CONCLUSION: IOP can be controlled effectively and postoperative complications were decreased after performed modified trabeculectomy. Modified trabeculectomy is easy, safe and effective, and has a high successful rate. It's a satisfactory surgery for primary angle-close glaucoma.