方晓源
Abstract
目的探讨一种不易引起滤过区瘢痕组织形成、疗效稳定的治疗青光眼的手术方式.方法对传统的小梁切除术的切口及巩膜瓣进行改良,采用角膜切口、不作球结膜瓣,巩膜瓣作成隧道式、于隧道底切穿浅层巩膜形成滤过通道.结果术中术后并发症少;远期疗效好,经长期随访眼压正常,滤过分布广泛,滤过泡无缩窄或消失;大部分视力不同程度提高.结论角膜切口小梁切除术是一个并发症少,成功率高,远期效果稳定的治疗青光眼手术方法.
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目的探讨一种不易引起滤过区瘢痕组织形成、疗效稳定的治疗青光眼的手术方式.方法对传统的小梁切除术的切口及巩膜瓣进行改良,采用角膜切口、不作球结膜瓣,巩膜瓣作成隧道式、于隧道底切穿浅层巩膜形成滤过通道.结果术中术后并发症少;远期疗效好,经长期随访眼压正常,滤过分布广泛,滤过泡无缩窄或消失;大部分视力不同程度提高.结论角膜切口小梁切除术是一个并发症少,成功率高,远期效果稳定的治疗青光眼手术方法.
Key concepts: Trabeculectomy, Medicine, Ophthalmology, Corneal topography, Cornea, Glaucoma, Optometry, Surgery