小切口小梁切除术治疗闭角型青光眼

目的　探讨小切口小梁切除术治疗闭角型青光眼的疗效。方法　回顾 2 0 0 2年 4月～ 2 0 0 2年 9月在我院接受滤过性手术的闭角型青光眼 5 0例 ( 64眼 )。随机分为 2组 :观察组 2 7例 ( 3 5眼 ) ,采用小切口小梁切除术 ;对照组 2 3例 ( 2 9眼 ) ,采用复合式小梁切除术。分析两组术后 6月内的眼压及并发症的发生率等。结果　两组术后第 1周内眼压差异有显著性意义 ,观察组眼压高于对照组 (P <0 0 5 ) ,尔后差异无显著性意义。两组术后早期滤过泡渗漏和前房积血的发生率差异无显著性意义 ;浅前房、脉络膜脱离的发生率 ,住院时间等差异有显著性意义 (P <0 0 5 ) ,观察组低于对照组。结论　小切口小梁切除术手术方法简单 ,术后并发症少 ,术后恢复快 ,且可以达到与复合式小梁切除术同样的降眼压效果

Small incision trabeculectomy for closure angle glaucoma

Objective To report the surgical outcome of small incision trabeculectomy for closure angle glaucoma.Methods In a retrospective study, 50 patients (69 eyes) who had closure angle glaucoma and need filtering surgery were divided into two groups. Small incision trabeculectomy was performed on 27 patients(35 eyes) ,as observed group,complex trabeculectomy were performed on 23 patients(29 eyes) ,as contral group. Compared postoperative IOP and complication between the two groups.Results There was significant difference in IOP between two groups in first week after operation(P<0.05),the observed group is higher than the control group; there was no significant difference in IOP after that by t test.Postoperative complications: early postoperative aqueous leakage and transient hyphema were same in two group;the observed group(6/35) was less than the control group (16/29) in shallow anterior chamber.Conclusion Small incision trabeculevtomy is more safe and simple than complex trabeculectomy and it can reach the same decreasing IOP level as complex trabeculectomy.