Khan A M, Jilani F A
Institute of Ophthalmology, A.M.U., Aligarh.
Indian J Ophthalmol. 1992 Apr-Jun;40(2):41-3.
Among 100 cases of primary glaucomas, 50 cases were operated for trabeculectomy by making fornix based flap and 50 cases were operated by fashioning limbal based conjunctival flap. Operative and post operative complications were studied thoroughly in the two groups. All the cases were followed up for six months to one year to assess control of intra ocular pressure, nature and functioning of filtering bleb, field changes and visual status in the two groups. It was found that the fornix based flap is much superior and carries various advantages over the limbal based flap. The operative and post operative complications are minimum in the fornix based flap as compared to the limbal based flap.
在100例原发性青光眼患者中，50例采用穹窿部为基底的结膜瓣行小梁切除术，50例采用角膜缘为基底的结膜瓣手术。对两组患者的手术及术后并发症进行了全面研究。对所有病例进行了6个月至1年的随访，以评估两组患者的眼压控制情况、滤过泡的性质和功能、视野变化及视力状况。结果发现，穹窿部为基底的结膜瓣比角膜缘为基底的结膜瓣优越得多，且具有多种优势。与角膜缘为基底的结膜瓣相比，穹窿部为基底的结膜瓣手术及术后并发症最少。
