Compound trabeculectomy for primary angle-closure glaucoma with persistent high intraocular pressure

Objective To evaluate the points and effects of the compound trabeculectomy in primary acute angle-closure glaucoma with persistent high intraocular pressure(IOP). Methods 30 eyes of uncontrolled acute angle-closure glaucoma were treated by compound trabeculectomy. Results The operation of 30 eyes was successful. In the follow-up of 2~12 months, the IOP was less than 21 mmHg in 24 eyes without any antiglaucoma-drug and in 5 eyes with lower IOP drugs. The visions of 20 eyes were raised. Conclusion Once the IOP cannot be controlled, surgical treatment should be undertaken at once. To keep the visual function from more damage, it is necessary and safe and effective to perform the compound trabeculectomy on acute angle-closure glaucoma with persistent high IOP under careful preparing and operating and post-operation nursing.