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目的探讨表面麻醉和透明角膜悬吊牵引缝线的方法在小梁切除术中的应用。方法选用86例眼青光眼患者应用爱尔凯因表面麻醉剂及下方角膜基质深层悬吊牵引线牵引眼球辅助暴露手术区。结果 86例125眼青光眼患者行小梁切除术,单纯表面麻醉效果良好,患者无疼痛,手术顺利完成者122眼,占97.6%;不能配合手术者3眼,改用球后麻醉,这3例为急性闭角型青光眼耳聋,年龄大,自身疼痛敏感不能配合手术。结论表面麻醉下透明角膜悬吊缝线小梁切除术,缩短了手术时间,避免了球后麻醉和上直肌缝线可能的并发症,使手术更安全。
Objective To investigate the application of surface anesthesia and transparent corneal suspension traction sutures in trabeculectomy. Methods Eighty - six eyes with glaucoma were treated with auricular topical anesthesia and the underlying deep corneal striation traction eye traction eye surgery area. Results In 86 eyes of 125 glaucoma patients, trabeculectomy was performed. The results of simple surface anesthesia were good. No pain was found in the patients, and 122 eyes were successfully completed, accounting for 97.6%. Three patients who failed to cooperate with the operation were given retrobulbar anesthesia. Acute angle-closure glaucoma deafness, older, their own pain can not be sensitive with surgery. Conclusions Transparent corneal suspension suture trabeculectomy under surface anesthesia can shorten the operation time and avoid the complications of posterior retrobulbar anesthesia and upper rectus suture and make the operation safer.