【摘要】 目的 探讨准分子激光非穿透小梁手术联合应用丝裂霉素治疗开角型青光眼的临床效果。方法 对16例(18眼)开角型青光眼采用准分子激光进行非穿透小梁手术，术中联合应用丝裂霉素，术后观察视力、滤过泡、前房深度、眼压、眼底、房角情况。结果 术后6个月16眼视力较术前无变化，2眼视力提高;术前平均眼压33.42±4.98mmHg(1mmHg=0.133kPa)，术后6个月平均眼压15.08±3.88mmHg;所有患者术后无浅前房、眼部炎性反应和眼内出血等并发症。结论 准分子激光非穿透小梁手术联合应用丝裂霉素治疗开角型青光眼手术简单，切削量控制精确，并发症少，降压效果好，且术后护理简单，是一种安全、有效的手术的治疗方法。

    关键词 准分子激光 非穿透 小梁手术 青光眼 丝裂霉素

    Non-penetrating trabecular surgery by excimer laser with application of mitomycin C in the treatment of primary open-angle glaucoma

    Jiang Ping，Mo Chunjian，Wang Jing，et al.

    Department of Optics Center，The First college of clinical Medical Science of Three Gorgers University&Yichang Central People’s Hospital，Yichang443003

    【Abstract】 Objective To evaluate the effect of non-penetrating trabecular surgery(NPTS)by excimer laser with application of mitomycin C on patients with open-angle glaucoma.Methods To apply NPTS by excimer laser to16patients(18eyes)with open-angle glaucoma ......