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[摘要]
目的：探讨复合式小梁切除术治疗近绝对期青光眼的临床疗效。
方法：对28例28眼近绝对期青光眼患者行复合式小梁切除术，术后观察视力、眼压、前房、滤过泡及并发症，随访观察约3～12mo。
结果：选取28例患者术后眼压得到控制，11例术后视力提高，14例无变化，3例视力下降。术后并发症主要为角膜水肿，浅前房及葡萄膜炎反应。
结论：复合式小梁切除术能显著提高手术的成功率，减少并发症的发生，对近绝对期青光眼是一种安全及有效的手术方式。
[Key word]
[Abstract]
AIM: To evaluate the therapeutic effect of compound trabeculectomy in treatment of nearly absolute glaucoma.
METHODS: A total of 28 cases(28 eyes)with nearly absolute glaucoma were treated with compound trabeculectomy, preoperative and postoperative intraocular pressure(IOP),visual acuity were compared. The follow-up time was 3 to 12(average 7.5)months.
RESULTS: IOP was controlled under normal standard in 28 eyes, visual acuity was improved in 11 eyes, unchanged in 14 eyes and worsened in 3 eyes.
CONCLUSION: The compound trabeculectomy significantly increases the successful rate of operation,decreases complications, which is a safe, effective method on treating nearly absolute glaucoma.
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