Persistent high intraocular pressure clinical observation of glaucoma filtration surgery.doc

 PAGE \* MERGEFORMAT 6 Persistent high intraocular pressure clinical observation of glaucoma filtration surgery [Abstract] Objective To investigate the ocular condition the efficacy of trabeculectomy. Methods 26 patients (26 eyes) treated with drugs can not control the intraocular pressure in glaucoma patients with anterior chamber paracentesis and trabeculectomy. Results 26 No cases of successful operation under the explosive choroidal hemorrhage, postoperative IOP control. Conclusion persistent high intraocular pressure for glaucoma surgery should be promptly implemented. [Keywords:] glaucoma; trabeculectomy; high intraocular pressure For acute angle-closure glaucoma acute attack, should be actively reduce intraocular pressure, IOP decreased until inflammation subsided after surgery [1], but the clinical application of drug therapy in some patients can not effectively control intraocular pressure, surgical time to fight for protection visual function, we have ocular hypertension down 26 cases of trabeculectomy (26 eyes), are as follows. 1 Data and methods 1.1 General Information Department of Ophthalmology in our hospital from January 2006 to December 2008 admitted 26 patients (26 eyes) with persistent high-tension glaucoma patients were male and 9 patients (9 eyes) and 17 females (17 eyes), age 45 75 years, mean 60 years. preoperative 40 ~ 65 mm Hg. preoperative visual acuity light perception in 2 eyes, light perception in 3 eyes, manual 5, index of 7, 0.02 ~ 0.25 in 9 eyes. 1.2 1 h before surgery surgical oral acetazolamide, 30 min before surgery rapid intravenous 20% mannitol 250 ml, retrobulbar anesthesia, oppression Lowering intraocular pressure in the temporal limbus for 15 before the needle Housing puncture and emit a small amount of aqueous humor, slowly lowering intraocular pressure. surgical site is the top choice in the eyes, nose or superior temporal quadrant on the quadrant, to do with the basement vault of the Ministry of conj