个性化复合式小梁切除术和术后强化管理在青光眼中的临床应用OACSTPCD

Objective To explore the effectiveness and safety of individualized combined trabeculectomy and postoperative intensive management in the clinical treatment of glaucoma.Methods A retrospective case series study.A to-tal of 63 patients(66 eyes)of glaucoma treated in the department of ophthalmology of Tongling People's Hospital from Janu-ary 2020 to October 2022 were collected,all of whom underwent individualized combined trabeculectomy and were given postoperative intensive management.The terms of visual acuity,intraocular pressure,anterior chamber,filtering bleb,and complications were observed and compared before and after the surgery.Results After a follow-up period of at least 3 months,the visual acuity at 1 week,1 month,and 3 months after the surgery was improved compared with that before the surgery(P<0.05).The intraocular pressure at 1 day,1 week,1 month,and 3 months after the surgery was decreased com-pared with that before the surgery(P<0.05).Improvement of visual acuity was observed in 55 of 66 eyes(83.33%),59 eyes(89.39%)maintained functional filtering bleb and intraocular pressure was well controlled,10 eyes(15.15%)had shallow anterior chamber,and none had severe complications after the surgery.Conclusions The use of individualized combined trabeculectomy and intensive postoperative management in patients with glaucoma results in definitive outcomes,with few complications,great operability,and low cost.It is recommended to widely carry out in municipal and grassroots hospitals.