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Vasco(1967)和Smith(1971)曾先后报告了巩膜下巩膜切除术(Svbsclerel sc-lerectomy)。治疗青光眼,这种巩膜切除是在一层巩膜办之下进行,而巩膜办又被一层比角膜缘为基底的结膜办所遮盖。这种双层办的手术与多年来仍被广泛使用的滤过性手术有所区别。 Smjth对14例21只药物治疗失败的青光眼采用了这种手术治疗,12例得到手术治愈,有两只眼需要附加药物治疗。两年来我院对23例晚期青光眼患者,试用了这种手术,并在手术操作上有一些修改,初步观察效果尚满意,本文重点从手术操作上进行讨论。
Vasco (1967) and Smith (1971) have reported on scleral sclerectomy (Svbsclerel sc-lerectomy). Treatment of glaucoma, the sclerectomy is carried out under a layer of sclera, and scleral Office and then by a layer of limbal conjunctival Office cover. This double-layered procedure differs from the more widely used filtering surgery that has been used for many years. Smjth used this procedure in 14 patients with 21 failed glaucoma medications, 12 were surgically cured, and two required additional medication. Two cases of our hospital in 23 cases of advanced glaucoma patients, the trial of this surgery, and some changes in the surgical operation, the initial observation is still satisfactory results, the focus of this paper from the operation to discuss.