Clinical observation of composite trabeculectomy for glaucoma

Objective To observe the efficacy,safety,practicality and complications of composite trabeculectomy for primary glaucomae;explore the potential clinical application of the surgery in the treatment of glaucoma.Methods Ninety-eight patients of the control group(n = 110) received conventional trabeculectomy,106 patients of the observation group(n = 118) received composite trabeculectomy,the patients were followed up for 3 ～ 12 months,the intraocular pressure,vision,bleb and complications were observed.Results In the observation group,the postoperative incidence of shallow anterior chamber was 2.5%,the average IOP was 14.8mmHg,the formation of functional blebs was 90.7%.The retardation rate of anterior chamber of the observation group was significantly lower than that of the control group;the intraocular pressure of the observation group was significantly better than that of the control group.The rate of the presence of functional blebs of the observation group was higher than that of the control group.Conclusion The composite trabeculectomy for primary glaucoma is superior to the traditional trabeculectomy in preventing postoperative shallow anterior chamber,postoperative bleb formation and IOP control with obvious advantages of higher success rate,safe,and fewer complications.