RESUMO
In clinical practice, Primary Acute Angle-closure Glaucoma [APACG] is a common disease with an increasing incidence rate and blind rate, and has attracted attention of medical researchers. When a patient suffers both primary acute glaucoma and high tension glaucoma, drug therapy can achieve limited efficacy, and operative treatment is necessary on this occasion. This research mainly explored the safety in treating high tension APACG by compound trabeculectomy, and observed the clinical treatment effect and incident rate of postoperative complications after compound trabeculectomy. The compound trabeculectomy can effectively control the intraocular pressure and decrease the incident rate of postoperative complications, accelerating the rehabilitation of patients
RESUMO
Objective To observe the effects and explore the mechanism of orthopia by using viscoelastic substance (sodium hyaluronate)in adherent strabismus(AS).Methods A total of 29 cases(33 eyes)of AS which were caused by various factors were performed strabotomy,in which sodium hyaluronate was poured into cap tenon space and /or around ocular muscles in which preserved after operation.Ocular movement was requested in 12～24 hours post-operation lest ocular muscles adhered to other tissues again.The main index we observed were the effectiveness of strabotomy and ocular movement.Results All 33 eyes achieved good results:17 eyes(51.5%) were cured,26 eyes(78.8%) obtained distinct improvement(DI). The operative results have reference to the cause of adherent strabismus,period of muscular adherence and visual function post-operation.No complications were found.Conclusion Our observation support that sodium hyaluronate can prevent ocular muscles from re-adhering to other tissues around after strabotomy.Most of the patients can obtain better effects by this viscoelastic therapy.