AIM: To evaluate the therapeutic effect of compound trabeculectomy in treatment of nearly absolute glaucoma.

METHODS: A total of 28 cases(28 eyes)with nearly absolute glaucoma were treated with compound trabeculectomy, preoperative and postoperative intraocular pressure(IOP),visual acuity were compared. The follow-up time was 3 to 12(average 7.5)months.

RESULTS: IOP was controlled under normal standard in 28 eyes, visual acuity was improved in 11 eyes, unchanged in 14 eyes and worsened in 3 eyes.

CONCLUSION: The compound trabeculectomy significantly increases the successful rate of operation,decreases complications, which is a safe, effective method on treating nearly absolute glaucoma.