Application of complex trabeculectomy for primary glaucoma in basic level hospital

Objective To observe the therapeutic efficacy of complex trabeculectomy for primary glaucoma in basic level hospital.Methods Sixty-three eyes of 59 cases of primary glaucoma accepted complex trabeculectomy,based on the traditional trabeculectomy,increased the application of preseting anterior chamber paracentesis and mitomycin C in surgery and adjustable suture.And then follow-up three months to one year after surgery to oberve the visual acuity,IOP,bleb,anterior chamber and complications.Results Good IOP control in all subjects (63 eyes),IOP of 61 eyes were less than or equal to 21 mm Hg,and 2 eyes were more than 21 mm Hg after using medicines of dropping down IOP.The functional bleb formed in 61 eyes.And rapid formation of the anterior chamber could be gotten after surgery,the mild shallow anterior chamberion 3 eyes a day after operation,with Compound Tropicamide Eye Drops trentment eye recovered to normal.Some complications have decreased,such as shallow anterior chamber,hyphema,bleb leakage,low IOP and choroidal detachment.Conclusions Complex trabeculectomy should be widely applied in basic level hospital because of simplicity of operator,minor trauma,more security and less complications. Key words: Trabeculectomy ,complex; Glaucoma,primary; Efficiency