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AIM: To evaluate the clinical effects of paracentesis of anterior chamber in trabeculectomy for advanced glaucoma with tubular visual fields to avoid complications. METHODS: Forty-two patients (42 eyes) of advanced glaucoma with tubular visual fields underwent trabeculectomy under topical anesthesia, during which the aqueous fluid was drained gradually through anterior chamber to avoid the loss of vision. Visual field and intraocular pressure were re-examined at postoperative 5 to 7 days. RESULTS: There was no loss of remnant visual function in any of the 42 cases. After operation, visual acuity and visual fields improved or remained unchanged, and the intraocular pressure was kept steadily. CONCLUSION: Paracentesis of anterior chamber during trabeculectomy is proved to be safe and reliable to avoid the loss of vision in treating advanced glaucoma with tubular visual fields. LA: Chinese
Dr. X.-Y. Dong, Department of Ophthalmology, Hospital of Chinese PLA, Urumchi 830011 Sinkiang AR, China. shanchahua-2@163.com
12.20 Other (Part of: 12 Surgical treatment)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)