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AIM: To study the clinical effects of scleral tunnel and non suture scleral filtration surgery in treating acute angle-closure glaucoma(AACG). METHODS: This retrospective study included the clinical data of 46 cases (46 eyes) AACG patients, who were in our hospital from January 2004 to December 2007. We compared the visual acuity (VA), intraocular pressure (IOP), visual field and complications before and after surgery. RESULTS: Surgeriyes were smoothly operated on 46 cases, they were followed up for 4-8 months after surgery, the mean IOP was 15.3 (plus or minus) 4.87mmHg and 16.8 (plus or minus) 4.77mmHg 1 and 5 months respectively after sugery. There were statistical differences before and after surgery (P<0.01). One week after surgery, the anterior chamber was stable, 8 cases had mild uveitis and the VA was not decreased compared with pre-operation, the visual field was reexamined without obvious changes. CONCLUSION: Scleral tunnel and non suture scleral flag filtration surgery, which can effectively decrease IOP in treating AACG and with less complication, is an effective filtration surgery methods. LA: Chinese
J.-H. Zhao. Department of Ophthalmology, Xi'an No. 1 Hospital, Xi'an 710002, Shaanxi Province, China. zhaojunhong2009@126.com
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)