目的：通过海德堡共焦激光眼底扫描仪(HRT-Ⅱ) 随访监测不同病程的原发性开角型青光眼(POAG)患者术后视盘结构参数的变化，评价HRT-Ⅱ在抗青光眼术后随访的可行性。 方法：对20例20眼POAG行复合小梁切除术，其中早期8眼、进展期及晚期12眼，术后眼压控制稳定不需联合药物治疗，术后随访2a，分别于术后3,6,12,24mo行HRT-Ⅱ扫描。 结果:早期、进展期及晚期20眼视盘结构主要参数视杯/视盘面积比(C/D)、 盘沿面积(RA) 、平均视网膜神经纤维层厚度(mRNFL) 手术前后比较差异有统计学意义（P＜0.05），视盘上下象限mRNFL厚度手术前后比较差异有统计学意义（P＜0.05）。 结论：HRT-Ⅱ应用于POAG患者术后随访监测是一种客观的观察方法，具有高度可重复性、客观性。

AIM:To evaluate the feasibility of application with HRT-Ⅱ to detect morphological alteration of optic disc in primary open angle glaucomatous patients after complex trabeculetomy. METHODS: Totally 20 eyes of 20 cases with different stages of primary open angle glaucoma （POAG）were performed with complex trabeculectomy. All patients IOP were controlled without medicines. The follow-up period was 24 months. HRT-Ⅱscanning was differently undergone in postoperation 3,6,12 and 24 months. RESULTS: There was significant difference (P<0.05) between preoperation and postoperation in cup/disk area ratio (C/D), rim area (RA), mean and superior /inferior retinal nerve fibre layer (mRNFL) in all patients with different stages. CONCLUSION:HRT-Ⅱ can be applied to detect the post-operative morphological alteration of optic disc in POAG patients with high objectivity and repeatability.