Improved adjustable suture trabeculectomy for treatment of glaucoma.docVIP

 PAGE \* MERGEFORMAT 9 Improved adjustable suture trabeculectomy for treatment of glaucoma Keywords:: trabeculectomy Since the clinical trabeculectomy has been a classic glaucoma surgery type, its application has saved tens of millions of glaucoma patients with visual acuity, lifting the suffering of many patients, but the traditional trabeculectomy filtration too often leads to smooth, caused by hypotony, shallow anterior chamber, choroidal detachment, macular degeneration and other complications have occurred [1]. Due to the outer trabeculectomy filtration surgery, scleral flap suture tension is extremely important [2], resulting in a number of improved operation, such as Schaffer’s releasable sutures in glaucoma surgery applications. On this basis, our department has been improved, making surgery easier, faster, to prevent postoperative filtration too smooth to good effect. Now our department treated 22 cases of various types of glaucoma, the clinical data of 28 patients reported as follows. An information and 1.1 General Information in April 2004 ~ September 2005 our department using modified adjustable suture trabeculectomy for treatment of glaucoma, 22 cases of 28, including 10 males 14 and 12 females, 14; and the youngest 23 years old, maximum 74-year-old, with an average 55.84 years old; with acute angle-closure glaucoma 13 eyes, chronic angle-closure glaucoma in 4 eyes, open-angle glaucoma in 4 eyes, blue eyelashes syndrome 1, secondary glaucoma 6. Measuring intraocular pressure with Schiotz tonometer hand, preoperative mean intraocular pressure (35.14 ± 12.35) mmHg. 1.2 surgical procedure done under an operating microscope for the basement to the tongue-shaped limbal conjunctival flap (11 ~ 1 point), separating fascia organized under the conjunctiva, sclera surface burning of bleeding, as in the basement of the triangle limbal scleral flap, basal 5mm, a thickness of 1 / 3 ~ 1 / 2 scleral thickness of the cornea with