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外路小梁切开术(External trabeculotomy,简称小梁切开术)是治疗婴幼儿型青光眼的首选显微手术之一,我们自1986年起开展此项手术治疗发育性青光眼,并于1989年在国内首次报道了小梁切开术治疗发育性青光眼的初步疗效及体会,迄今已施行该手术120余例,现将术后随访一年以上的婴幼儿型青光眼病例作分析总结。材料与方法 1986年～1991年12月间,作小梁切开术治疗婴幼儿型青光眼80例128眼。随访至少一年的共41眼(27例),其中原发性婴幼儿型青光眼38眼(24例)伴其他眼部先天异常的,继发性婴幼儿型青光眼(Sturge—weber综合征)3眼(3例)。手术时平均年龄2.6岁(2个月～11岁),男18例,女9例,单眼13例,双眼14例。所有病例术前均有畏光、流泪、大角膜、高眼压伴程度
External trabeculotomy (trabeculotomy) is one of the most preferred microsurgery for the treatment of infantile glaucoma. Since 1986, we have developed this procedure for the treatment of developing glaucoma and in 1989 In China for the first time reported trabeculectomy for the treatment of developmental glaucoma and its initial effect, so far has performed more than 120 cases of surgery, are now followed up for more than one year of infant glaucoma cases for analysis and summary. Materials and Methods Between 1986 and December 1991, 128 cases of infantile glaucoma were treated with trabeculotomy. A total of 41 eyes (27 cases) were followed up for at least one year. Among them, 38 cases of primary infantile glaucoma (24 cases) with other congenital anomalies of the eye, secondary glaucoma (Sturge-weber syndrome) 3 Eye (3 cases). The average age of surgery 2.6 years (2 months to 11 years), 18 males and 9 females, 13 eyes monocular, 14 eyes. All cases were photophobia, tearing, cornea, ocular hypertension with degree