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AIM: To explore the effect of sclera concave pool forming combined with amniotic membrane implantation (AMI) and trabeculectomy for the treatment of glaucoma. METHODS: One hundred and ninety-six patients (276 eyes) with refractory glaucoma underwent sclera concave pool forming combined with AMI and trabeculectomy. The intraocular pressure (IOP), outflow facility, anterior chamber and filtering blebs were observed, and all the patients were follwed up for 3 to 16 months. RESULTS: The postoperative IOP were controlled in 16-21 mmHg one week or one year after operation without ocular hypotensive agents; Incidences of complications such as shallow of anterior chamber, ocular hypotension, detachment of choroids were lower than 10%. The average coefficient of outflow facility was 0.28Cumm/min(middle dot)mmHg. The morphous of filter bleb was functional filter bleb. CONCLUSION: Application of sclera concave pool forming combined with AMI and trabeculectomy for the treatment of glaucoma can reduce blood pressure significantly, prevent the formation of scar tissue of filtering bleb, and the complications are rare. It is a useful and safe method for treating glaucoma. LA: Chinese
S.-P. Shen. Department of Ophthalmology, First Hospital of Qiqihar, Qiqihar 161005, Heilongjiang Province, China. shenshipeng2004@126.com
12.20 Other (Part of: 12 Surgical treatment)