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AIM: To observe the points and effects of the trabeculectomy in primary angle-closure glaucoma (PACG) with persistent high intraocular pressure (IOP). METHODS: The trabeculectomy was performed on 22 eyes (21 cases) after the IOP and had been reduced with many kinds of methods in procedures of pre-operation and intra-operation. RESULTS: The IOP was less than 21 mmHg in 17 eyes without any antiglaucoma-drug and in 4 eyes with lower IOP drugs after 6-12 months of the operation. The visions of 19 eyes were raised. There were no serious complications. CONCLUSION: Once the IOP cannot be controlled, surgical treatment should be undertaken at once. It is necessary and safe and effective to perform the trabeculectomy on PACG with persistent high IOP under careful preparing and operating and post-operation nursing. LA: Chinese
Dr. W.-Q. Zhang, Department of Ophthalmology, Wuhan General Hospital of Guangzhou Military Command, Wuhan 430070 Hubei Province, China. wenqiang71@sohu.com
9.3.2 Chronic primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)