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在闭角型青光眼,应早期施行YAG-激光虹膜切开术或传统的周边虹膜切除术。倘小梁已不可逆的损害,则应作小梁切除术。在开角型青光眼,用药物治疗或激光小梁成形术不能控制,则必需手术治疗,一般应选用小梁切除术。与传统的滤过手术相比较,小梁切除术较少发生前房塌陷,但有时也可发生。为了预防这种并发症,作者建议切开前房后立即注射透明质酸钠。倘所有预防措施都用过了,但手术后前房仍消失(由睫状体阻滞性青光眼或过度过滤伴脉络膜和睫状体的继发性脱离所致),约物治疗又无效,则必需再手术。值得选择注射透明质酸钠以再建前房。
In angle-closure glaucoma, YAG-laser iridectomy or conventional peripheral iridectomy should be performed early. If trabecular irreversible damage, trabeculectomy should be performed. In open-angle glaucoma, with medication or laser trabeculoplasty can not control, you must surgery, trabeculectomy should generally be used. Compared with the traditional filtration surgery, trabecular surgery less collapse of the anterior chamber, but sometimes it can happen. To prevent this complication, the authors recommend immediate injection of sodium hyaluronate after incision of the anterior chamber. If all precautions have been taken, but the anterior chamber disappears after surgery (due to ciliary body block glaucoma or hyperfiltration associated with secondary detachment of the choroid and ciliary body), the drug treatment is invalid, then Necessary surgery. It is worth to choose to inject sodium hyaluronate to rebuild the anterior chamber.