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管状视野青光眼选择手术方法是个棘手问题,笔者近两年来,收治5例小视野青光眼患者,在临床均采用巩膜下虹膜根部嵌顿术,认为此方法较为安全,现报告如下。 本组5例中,男3例,女2例。年龄37岁1例,42岁2例,45岁1例,52岁1例。术前视野1例7度,余4例均为10度;右眼失明2例,眼前手动1例,0.5者1例,0.1者1例。左眼眼前手动1例,0.2者1例,0.3者1例,0.5者1例,0.7者1例。眼压5.5kPa 1例,5.1～5.5kPa 3例,4.6～4.8kPa 1例。临床诊断为慢性单纯性青光眼3例,慢性闭角性青光眼2例。 手术方法:球后麻醉不宜进入肌肉圆锥,以穹隆为基底沿角膜缘剪开球结膜9～3点,在颞侧或鼻
Tubular field of vision glaucoma surgery is a tricky problem, the author in the past two years, admitted to 5 patients with small field glaucoma, scleral iris root clinical incarceration, that this method is more secure, are as follows. The group of 5 patients, 3 males and 2 females. One patient was 37 years old, 42 cases were in 2 cases, 45 cases were in 1 case and 52 cases were in 1 case. Preoperative visual field in 1 case 7 degrees, the remaining 4 cases were 10 degrees; right eye blindness in 2 cases, the immediate manual in 1 case, 0.5 in 1 case, 0.1 in 1 case. Left eye in front of manual 1 case, 0.2 in 1 case, 0.3 in 1 case, 0.5 in 1 case, 0.7 in 1 case. 1 case of intraocular pressure 5.5 kPa, 5.1 to 5.5 kPa in 3 cases, 4.6 ~ 4.8 kPa in 1 case. Clinical diagnosis of chronic simple glaucoma in 3 cases, 2 cases of chronic angle closure glaucoma. Surgical methods: anesthesia after the ball should not enter the muscle cones to the dome as the base along the limbus cut the conjunctiva 9 to 3 points in the temporal or nasal