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青光眼的治疗,目前手术仍占重要地位,1968年Cairns首创小梁切除术治疗青光眼以来,临床上广为应用,我们在实践中亦体会到本手术降压效果好,并发症少,是安全有效的治疗青光眼术式之一。但对慢性闭角型青光眼,继发性青光眼术后远期疗效较差。据Portney氏报道,小梁切除术观察一年以上的手术疗效,原发性开角型青光眼的成功率为85%,继发性闭角型的成功率为59%。考虑小梁切除术在继发性青光眼中效果不佳,由于多数为闭角型,且术后可能使原发病变即炎症或新生血管继续进展,
Glaucoma treatment, the current operation is still an important position in 1968 Cairns pioneered trabeculectomy glaucoma since the widely used in clinical practice, we also realized in practice the antihypertensive effect of this operation, fewer complications, is safe and effective One of the treatment of glaucoma surgery. However, chronic angle-closure glaucoma, secondary glaucoma postoperative long-term curative effect is poor. According to Portney’s report, trabeculectomy observed more than one year of surgical efficacy, primary open-angle glaucoma was 85% success rate, secondary angle-closure success rate was 59%. Consider trabeculectomy in secondary glaucoma ineffective, because most of the angle-closure type, and postoperative may make the primary lesion inflammation or neovascularization continue to progress,