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目的 :评价外路小梁切开联合小梁切除术治疗先天性青光眼的疗效。方法 :应用外路小梁切开联合小梁切除术治疗婴幼儿先天性青光眼 6例 (11眼 )。结果 :术后 7天 ,11眼眼压均降至正常。术后随访观察平均 2 0个月 ,10眼眼压控制正常 ,手术成功率为 90 .9%。术中常见并发症为小量前房出血 ,一般在术后 1～ 5日内完全吸收 ,对手术效果无影响。结论 :外路小梁切开联合小梁切除术是治疗婴幼儿先天性青光眼安全而有效的手术方法 ,可推广应用。
Objective: To evaluate the efficacy of trabeculectomy combined with trabeculectomy in the treatment of congenital glaucoma. Methods: 6 cases (11 eyes) with congenital glaucoma were treated by trabeculectomy combined with trabeculectomy. Results: Seven days after operation, the intraocular pressure of 11 eyes dropped to normal. The patients were followed up for an average of 20 months. The intraocular pressure was normal in 10 eyes and the success rate was 90.9%. Common intraoperative complications for a small amount of anterior chamber bleeding, usually 1 to 5 days after the complete absorption, the effect of surgery had no effect. Conclusion: Trabeculectomy combined with trabeculectomy is a safe and effective surgical method for the treatment of congenital glaucoma in infants and young children. It can be used widely.