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我科在行显微手术的基础上,近年来又在肉眼下行双瓣型小梁咬切术76例105只眼报告如下。病例选择:在76例105只眼中,急性闭角型青光眼50只眼占47.6%,慢性闭角型青光眼22只眼占21.0%,继发性青光眼17只眼占16.2%,慢性开角型青光眼16只眼占15.2%。男19例,女57例。年令22~82岁。检查:术前后均分别检查视力、眼压、视野,裂隙灯以及前房角镜检查,以作对比。手术方法:1.术前缩瞳及降眼压药物将眼压控制在25毫米汞柱左右。如眼压不能控制,
On the basis of microsurgery in our department, 76 cases (105 eyes) of double flap trabeculectomy under the naked eye were reported as follows in recent years. Case selection: In 76 eyes of 105 eyes, 50 eyes of acute angle-closure glaucoma accounted for 47.6%, chronic angle-closure glaucoma of 22 eyes accounted for 21.0%, secondary glaucoma 17 eyes accounted for 16.2%, chronic open-angle glaucoma 16 eyes accounted for 15.2%. 19 males and 57 females. Year 22 ~ 82 years old. Inspection: Visual acuity, intraocular pressure, visual field, slit lamp and gonioscopy were examined before and after surgery for comparison. Surgical methods: 1. preoperative miosis and intraocular pressure lowering IOP will be controlled at about 25 mm Hg. Such as intraocular pressure can not be controlled,