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先天性青光眼是难治性青光眼的一种。有不少患儿经过传统的小梁切开术、小梁切除术、睫状体光凝术等治疗,眼压仍不能得到有效控制。对于这部分患儿,由于上方结膜及巩膜的瘢痕化,很难再次完成滤过性手术。但是,这部分患儿的下方、颞侧及鼻侧Schlemm管及房角结构仍然未受到破坏,因此,可以利用微导管完成此部分小梁网的切开,称之为微导管辅助的次全小梁切开术,从而达到降低眼压的目的。现将该手术的标准操作规范归纳如
Congenital glaucoma is a form of refractory glaucoma. There are many children after trabeculectomy, trabeculectomy, ciliary body photocoagulation and other treatment, intraocular pressure still can not be effectively controlled. For this part of the children, due to the above of the sclera and conjunctiva scars, it is difficult to complete the filtration surgery again. However, this part of the children below, temporal and nasal Schlemm tube and angle structure remains intact, so you can use the microcatheter to complete this part of the trabecular meshwork, called micro-catheter assisted secondary Trabeculotomy, so as to achieve the purpose of reducing intraocular pressure. Now the standard operation of the operation rules summarized