AIM: To investigate selection of surgical methods for traumatic angle recession glaucoma.

METHODS:. A total of 94 patients 94 eyes with traumatic angle recession glaucoma were selected from Feb. 2014 to Jun. 2015 in our hospital. The preoperative intraocular pressure <30mmHg, angle recession range ≤ 180 degrees, and optic disc C/D≥ 0.6 patient received normal trabecular resection(A group, n=63); Preoperative intraocular pressure ≥30 mmHg, ≤39mmHg, angle recession range >180 degrees, optic disc C/D 0.6 ～ 0.8 patients received composite trabecular resection(B group, n=24). Preoperative intraocular pressure >39mmHg to 50mmHg, angle recession range > 180 degrees, optic disc C/D in 0.8 to 1.0 patients received glaucoma drainage valve implantation(C group, n=7), observed patients preoperative and postoperative 12mo the intraocular pressure, visual acuity, effective filtering bleb and complications.

RESULTS: A group, B group and C group postoperative intraocular pressure were 14.31±1.17mmHg, 15.04±1.20mmHg and 15.10±2.10mmHg, compared with the preoperative decreased significantly(P<0.05). Three groups postoperative intraocular pressure difference had no statistical significance(P>0.05). The proportion of postoperative visual acuity improvement in A group, B group and C group were 90%, 83% and 86%, the difference was not statistically significant(P>0.05). The percentage of effective filtration bleb in A group, B group and C group were 92%, 92% and 86%, the difference was not statistically significant(P>0.05). A group, B group and C group postoperative visual field score compared with the preoperative decreased(P<0.05).

CONCLUSION: According to the patient's angle recession range and intraocular pressure choose different surgical treatment, can effectively reduce the intraocular pressure, improve the patient's visual acuity.