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目的探讨小梁切除术中做巩膜瓣可调整缝线预防术后低眼压、浅前房的效果。方法小梁切除术中,在缝合巩膜瓣时自前房穿刺口缓慢注入平衡盐溶液,调节眼内压,重建前房,同时调整巩膜瓣缝线松紧,并检测滤过口的功能,然后再加置1~2针作为可调整缝线。结果采用可调整缝线组50例65眼,有7例8眼(占12%)出现前房形成延缓;而未采用可调整缝线组48例66眼,有18例22眼(占33%)出现前房形成延缓。结论小梁切除术中采用可调整缝线可有效预防浅前房。
Objective To investigate the effect of adjustable scleral flap suture to prevent postoperative low intraocular pressure and shallow anterior chamber in trabeculectomy. Methods trabeculectomy, the scleral flap in the anterior chamber puncture slowly injected balanced salt solution, adjusting intraocular pressure, reconstruction of the anterior chamber, and adjust the scleral flap suture elastic, and the function of the filter to detect the mouth, and then add Set 1 ~ 2 pins as adjustable suture. Results There were 65 eyes in 50 cases and 7 eyes in 8 eyes (12%) in adjustable sutures. However, 48 eyes (66 eyes), 18 eyes (33%) without adjustable sutures, ) Anterior chamber formation delay. Conclusion Adjustable suture in trabeculectomy can prevent shallow anterior chamber effectively.