小梁切除术是开角型青光眼中最常规的手术治疗方法。让病人在第一时间里对于小梁切除术有足够的理解是十分困难的,但这一点很重要。患者常常没有眼科医生所关注的眼部症状,他的疾病往往是医生告之后才知道。小梁切除术最好的结果也仅仅是维持视力,另外手术治疗的结果也可能使视力恶化。这些问题在干预性手术治疗中必须与患者解释清楚,虽然有时难以说清楚,但患者对手术结果的企盼,意味着手术者为得到最安全的结果需要面对更多的挑战。手术前手术者要有良好的状态,安静的手术环境和可靠的手术设备。 Trabeculectomy is the most common surgical treatment of open-angle glaucoma. It is very difficult for the patient to understand the trabeculectomy for the first time, but this is very important. Patients often have no ocular symptoms that the ophthalmologist is concerned with, and his illness is often known to the doctor. The best result of trabeculectomy is just to maintain vision, the results of surgery may also make vision worsened. These issues must be clearly explained to the patient in interventional surgery, and while it is sometimes not clear, the patient’s expectations of the outcome of the surgery mean that the operator has to face more challenges in order to get the safest results. Surgeons should have a good condition before surgery, quiet surgical environment and reliable surgical equipment.