Surgical treatment of primary angle-closure glaucoma with persistent high intraocular pressure

Objective To observe the points and effects of the trabeculectomy in primary angle-closure glaucoma(PACG) with persistent high intraocular pressure(IOP).Methods The trabeculectomy was performed on 22 eyes (21 cases) after the IOP and had been reduced with many kinds of methods in procedures ofpre-operation and intra-operation.Results The IOP was less than 21mmHg in 17 eyes without any antiglaucoma-drug and in 4 eyes with lower IOP drugs after 6-12 months of the operation.The visions of 19 eyes were raised.There were no serious complications.Conclusion Once the IOP cannot be controlled,surgical treatment should be undertaken at once.It is necessary and safe and effective to perform the trabeculectomy on PACG with persistent high IOP under careful preparing and operating and post-operation nursing.