ABSTRACT
It is not rare for nanophthalmos secondary glaucoma that filtration operation results in blindness,especially after the filtration operation is more popular,but surgical skill is not enough even for every surgeon.Thus the eye axis measurement is empha- sized for patients with angle closure glaucoma in order to affirm whether it is nanophthalmos,and a simple three-step method is intro- duced to recognize nanophthalmos quickly.We should stress the general detail design for treatment of nanophthalmos secondary glauco- ma.It should be careful to use miotic agents during its treatment.If have to do surgeries,we should know their high risks and can cor- rectly deal with complications such as malignant glaucoma,uveal effusion,choroid detachment,expulsive hemorrhage and so on.Its sur- gical fashions will depend on pathophysiological mechanisms and structure of ocular anterior segment of patients with nanophthalmos. Good communications with patients and their relatives and excellent operative skills are important factors for ensuring successful surgeries.