AIM: To analysis the curative effect of two kinds of trabeculectomy for glaucoma.

METHODS: Totally 300 cases(384 eyes)of glaucoma patients in our hospital from May, 2006 to September, 2011 were randomly divided into observation group 160 cases(200 eyes)and control group 140 cases(184 eyes), treated with combined trabeculectomy and traditional trabeculectomy, respectively. Two groups of curative effect were compared, and they were followed up for 1y.

RESULTS: All operations are completed smoothly. At postoperative 1wk, observation group(combined trabeculectomy)and control group(traditional trabeculectomy)in incidence of shallow anterior chamber were 7.5% and 21.7%. The difference was statistically significant(P<0.05). Surgical success rate was 90.0% after 1y in observation group which was obviously higher than 65.2% in the control group(P<0.05); one year postoperatively, functional follicular formation rate of the observation group and the control group were 86.0% and 63.0%, respectively, and the differences had statistical significance(P<0.05); the incidence of postoperative complications of observation group was obviously lower than that in the control group(P<0.05).

CONCLUSION: Combined trabeculectomy for glaucoma receives better curative effect than that of traditional trabeculectomy, and can effectively reduce the occurrence of postoperative shallow anterior chamber, the functional filtering bleb formation as well as long-term success rate of surgery is distinct, and complication is low. Thus, it is suitable for clinical promotion.