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目的:探讨小梁切除联合可调缝线和丝裂霉素C治疗原发性急性闭角型青光眼的疗效。方法:对52例(60只眼)行小梁切除联合可调缝线和丝裂霉素C的原发性急性闭角型青光眼,术中应用丝裂霉素C防止滤过泡瘢痕化,并置可调整缝线;术后严密观察眼压、视力、滤过泡等。结果:54只眼(90.0%)眼压<21 mm Hg,6只眼加用局部药物治疗后眼压控制至正常范围;术后第1天所有病例均形成前房;6个月内随诊54只眼形成功能性滤过泡;术后所有病例视力均较术前提高,手术后均未出现脉络膜脱离和恶性青光眼等严重并发症。结论:小梁切除联合可调缝线和丝裂霉素C治疗原发性急性闭角型青光眼是安全有效的,能避免视功进一步损害。
Objective: To investigate the efficacy of trabeculectomy combined with adjustable suture and mitomycin C in the treatment of primary acute angle-closure glaucoma. Methods: Fifty-two patients (60 eyes) underwent trabeculectomy combined with adjustable sutures and mitomycin C for primary acute angle-closure glaucoma. Mitomycin C was used during operation to prevent bleed scarring, Juxtaposition adjustable sutures; close observation of intraocular pressure, visual acuity, filtered bleb and so on. Results: The intraocular pressure (IOP) of 54 eyes (90.0%) was less than 21 mm Hg. The intraocular pressure (IOP) was controlled to the normal range in 6 eyes with local drug treatment. Anterior chamber was formed in all cases on the first postoperative day. 54 eyes formed functional filtering bleb; postoperative visual acuity in all cases were improved compared with that before operation, no serious complications such as choroidal detachment and malignant glaucoma occurred after operation. CONCLUSION: Trabeculectomy combined with adjustable sutures and mitomycin C in the treatment of primary acute angle-closure glaucoma is safe and effective, which can avoid further damage to visual acuity.