Paracentesis in trabeculectomy Application.docVIP

 PAGE \* MERGEFORMAT 9 Paracentesis in trabeculectomy Application [Abstract] Objective To observe the glaucoma trabeculectomy Bank paracentesis effect on the operation. Method in 72 trabeculectomy released by aqueous paracentesis mouth, injected balanced salt solution to adjust the intraocular pressure, prompting the formation of anterior chamber, shallow anterior chamber to prevent the occurrence of the formation of artificial filtration pillow. Results 72 patients have two eyes showed grade Ⅰ shallow anterior chamber, the incidence was 2.8%, no pupil distortion, filter to form a good pillow at discharge and after 1 month IOP within the normal range. Conclusion Application of trabeculectomy can reduce the surgical complications of anterior chamber puncture to obtain better results of operations. [Keywords:] glaucoma; trabeculectomy; anterior chamber puncture Trabeculectomy is the basic surgical treatment of glaucoma and has been widely used. In our hospital from January 2003 ~ December 2005, glaucoma trabeculectomy in the implementation of the application of anterior chamber puncture and to regulate the intraocular pressure, anterior chamber depth, the formation of artificial filtration pillow achieved the ideal results of operations are reported as follows . 1 Data and methods 1.1 General Information of this group of 64 patients with 72, male 28 cases, female 36 cases, with an average age of 56.2 years. One of acute angle-closure glaucoma in 28 cases of chronic angle-closure glaucoma in 20 cases, 8 cases of open-angle glaucoma, secondary angle-closure glaucoma in 8 cases. 1.2 General anesthesia for surgical anesthesia and upper rectus muscle, superior rectus rear opening eyelid sutured eye. The 12-point centers for the Department for a dome the size of the basement 8mm conjunctival flap, burning bleeding. In the limbus at the top to make a 4mm * 5mm 1 / 3 of thickness of the lamellar scleral flap, separating up a little in front of limbal ant