Abstract:·AIM:To observe the long-term effect of reformed trabeculectomy.·METHODS:Totally 50 cases 85 eyes of glaucoma received the trabeculectomy with sclera flap(4mm×6mm),and the sclera flap was sutured by three needles(span 4mm)in observed group.50 cases 82 eyes of glaucoma received the conventional trabeculectomy in control group.·RESULTS:The postoperative follow-up period was 8-30 months.Visual acuity was higher than before operation in 7 eyes,5 eyes were worse than before operation,other eyes remained the same(P>0.05).There was significant statistical difference between preoperative and postoperative intraocular pressure(IOP)(P<0.05).There was significant statistical difference between preoperative and post-operative rim area(RA),rim volume(RV)and mRNFL(P<0.05).5 eyes expanded in visual fields relatively,3 eyes decreased,othes remained the same.There was significant statistical difference between two groups in the control rate of IOP,the rate of filtering bleb formation and complications(P<0.05).·CONCLUSION:The reformed trabeculectomy can effectively accommodate IOP,reduce complications and improve visual function.It is a safe and effective surgery method.·