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AIM: To evaluate the effect of non-penetrating trabeculectomy in the treatment of pseudophakic glaucoma. METHODS: Thirteen glaucomatous patients (13 eyes) with intraocular lens were performed non-penetrating trabe-cular surgery. Supra nasal conjunctival flap with fornix sclerocorneal basement were made, then 4mm x 5mm superficial layer scleral flap was manufactured. Cotton hair full of 0.2mg/mL mitomycin C was put under the scleral flap for 3 minutes, and it was cleaned by 20mL physiological saline. A 3mm x 4mm deep lamella scleral flap under valve was formed and excised. Schlemm's canal intine and vicinity constitution were evulsioed. Aqueous humor infiltrated out slowly. SK II gelatum was embed into the sclerotic socket. The superficial layer scleral flap and the conjunctiva were sutured. RESULTS: There were no hyphema and anterior chamber obliteration in all cases. Only one case occured micr-penetrate. Intra-ocular tensions in 13 eyes were between 8mmHg and 16mmHg. Two months later, intraocular hypertension happened in 2 eyes, but the ocular tension degraded after drug treatment or laser therapy. CONCLUSION: Non-penetrating trabeculectomy was one of the effective methods to treat glaucoma with intraocular lens. LA: Chinese
H.-J. Liu. Department of Ophthalmology, No. 421 Hospital of Chinese PLA, Guangzhou 510318, Guangdong Province, China. 173203590@qq.com
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)