Clinical observation of trabeculectomy for acute angle-closure glaucoma with high intraocular pressure

Objective To evaluate the trabeculectomy for acute angle-closure glaucoma(ACG) attack with continuous high state of intraocular pressure(IOP). Methods Trabeculectomy had been done for 40 cases(65 eyes) of ACG that the IOP was over 40 mmHg after application of large dose of medicine treatment;After the scleral valve had been done,a small incision was made to release aqueous slowly.Then regular operation had been done when the IOP droped. Results There were no serious complications such as suprachoroidal space bleeding and malignant glaucoma.The vision was ≥0.1 in 64 eyes in one week,≥0.3 in 39 eyes.The IOP was ≤21 mmHg in 52 eyes.Choroidal detachment occurred in 3 eyes.Delayed anterior chamber reformation occurred in 7 eyes.Most of the cases got a good vision. Conclusion It is necessary to do anterior chamber puncture and trabeculectomy for ACG with continuous high state of IOP.