Non-penetrating trabeculectomy in treatment of glaucoma aphakia.doc

 PAGE \* MERGEFORMAT 11 Non-penetrating trabeculectomy in treatment of glaucoma aphakia Author: Wei-Dong Xiaoyun Wang Ruifu GAO Xiao-Dong Fan Xi Yan Xiu Xiang Yin Poggi [Abstract] Objective To study the non-penetrating trabeculectomy combined with hydrogel implant for treatment of aphakia glaucoma clinical significance. Methods 19 patients (22 eyes) with aphakia with glaucoma were selected under the temporal position of the Department do to dome after the conjunctival flap for the basement to do in order to corner the basement Gong edge of shallow 5mm * 5mm scleral flap, place soaked 0.2mg / ml concentration of mitomycin C after 3min cotton bandage, remove the cotton bandage, rinse thoroughly with 20ml normal saline. Flap 3mm * 5mm do so under a deep scleral flap and removal, torn Schlemm canal wall and adjacent tissues, showing that aqueous leakage increased significantly, SK Ⅱ gel implants, intermittent shallow scleral flap suture continuous suture after the conjunctival incision. Results All patients had surgery in no case there, or anterior chamber hyphema disappeared, 1 patients had micro-wear. 22 postoperative IOP control between 8 ~ 16mmHg. 3 after 2 months after high intraocular pressure by drug therapy or laser treatment to normal intraocular pressure control. Conclusions The non-penetrating trabeculectomy in the treatment of glaucoma in aphakia safe and effective surgical one. [Keywords:] non-penetrating trabeculectomy in glaucoma Aphakia are refractory glaucoma Glaucoma is one of a variety of factors, the current low success rate of surgery is about 33% ~ 39% [1]. I Bureau since November 2003 ~ April 2004 the use of non-penetrating trabecular surgery or drugs such uncontrollable glaucoma in 19 cases (22), patients were followed up 6 to 12 months, to achieve a satisfactory effect, the current reported as follows. An object and methods 1.1 Object-free crystals with glaucoma and 19 (22), 12 males and 7 females. Aged 1 to 64 years, mean 48