目的:探讨丝裂霉素C(MMC)联合可调节缝线应用于难治性青光眼的临床疗效。方法:对39例48眼难治性青光眼联合应用MMC和可调节缝线,术后观察前房、眼压、滤过泡及并发症。术后追踪观察6～24(平均15)mo。结果:术后眼压控制良好,成功率94%;功能性滤过泡94%;并发症以浅前房为主,达6%。结论:各类难治性青光眼采用滤过手术联合MMC和可调节缝线可有效防止滤过泡纤维化,眼压控制良好,大大提高手术成功率,值得推广应用。

AIM:To investigate the clinical effect of mitomycin C(MMC)combined with adjustable suture used in refractory glaucoma.METHODS:A total of 39 patients 48 eyes with refractory glaucoma were treated by MMC combined with adjustable sutures,postoperative anterior chamber,intraocular pressure(IOP),bleb and complications were followed up for 6-24 months with an average of 15 months.RESULTS:The IOP had good control in surgery,success rate was 94% and functional blebs was 94%;complications were mainly shallow anterior chamber,up to 6%.CONCLUSION:The use of filtering surgery with MMC and the adjustable sutures is effective in preventing fibrosis of bleb in various types of refractory glaucoma with well controlled IOP,and it can greatly improve the success rate of surgery,and should be widely applied.

R779.6