【摘要】 目的 探讨青光眼小梁切除术中巩膜瓣下填置游离小梁瓣的手术效果。方法 42例(45眼)青光眼患者在实施小梁切除术的同时于巩膜瓣下填充固定游离小梁组织， 观察疗效。结果 视力与术前比较提高>2行17眼(37.8%)， 眼压完全控制37眼(82.2%)。结论 青光眼小梁切除术中巩膜瓣下填置游离小梁瓣是保持滤过道通畅的有效方法。

    【关键词】 青光眼；小梁切除术；巩膜瓣；游离小梁瓣；眼压；滤过泡

    DOI：10.14163/j.cnki.11-5547/r.2016.25.025

    【Abstract】 Objective To investigate surgical effect by free trabecular disc placement under sclera flap in glaucoma trabeculectomy. Methods A total of 42 patients (45 eyes) received free trabecular disc placement under sclera flap in glaucoma trabeculectomy， and their curative effects were observed. Results There were 17 eyes (37.8%) with improved vision > 2 lines and 37 eyes (82.2%) with complete controlled intraocular pressure. Conclusion Free trabecular disc placement under sclera flap in glaucoma trabeculectomy is an effective method for keeping filtration way unobstructed.

    【Key words】 Glaucoma； Trabeculectomy； Sclera flap； Free trabecular disc； Intraocular pressure； Filtering bleb

    常规青光眼小梁切除术中 ......