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目的设计一种新型的手术方法治疗继发性青光眼。方法将中央部伸出一小直条(15mm×2mm)的双向硅胶片(80mm×5mm),穿过4条直肌下,两端缝合结扎,小直条自巩膜瓣下切口伸入前房。结果随访6月以上的继发性青光眼19眼,眼压控制在2.74kPa以下的17眼,其中6眼需加0.5%噻吗心安1~2次/d。结论此手术方法安全、有效,易操作。
Objective To design a new surgical method for the treatment of secondary glaucoma. Methods A small straight strip (15mm × 2mm) of bi-directional silicon film (80mm × 5mm) was inserted in the central part through the four rectus muscles and sutured at both ends. The small straight strip extended into the anterior chamber from the incision of the scleral flap . Results All the patients were followed up for 19 eyes with secondary glaucoma over 6 months and intraocular pressure under 17 eyes under 2.74 kPa. 6 of them needed 0.5% timolol 1 to 2 times / d. Conclusion This surgical method is safe, effective and easy to operate.