Abstract:Objective To explore the efficiency of trabeculectomy and Ex-PRESS glaucoma filtration in patients suffered ocular traumatic secondary glaucoma. Methods Use prospective randomized controlled clinical trials choose 40 eyes of traumatic glaucoma were randomly divided into two groups.All patients were assigned to groups A and B according the different therapy.Group A(21 eyes)was treated with Ex-PRESS glaucoma filtration device implantation. Group B(19 eyes)was treated with trabeculectomy.The last follow-up time was 1 year after surge.The postoperative visual acuity,intraocular pressure and success rate were analyzed. Results The ratio of improved visual acuity in group A was significantly higher than that of group B(P<0.05).Compared with that before operation,intraocular pressure both in group A and group B significantly decreased(P<0.05),but the average of intraocular pressure in group A was lower than that of group B during the long term follow up(P<0.05).Definitely sucess and fail rate was statistical difference between group A and group B(P<0.05).Definitely success in group A was higher than that of group B.Fail rate in group A was lower than that of group B. Conclusion Ex-PRESS glaucomafiltration device implantation has the advantages ofsimpleness,safety,minimally invasive,short learning curve for ocular traumatic secondary glaucoma,Ex-PRESS glaucoma filtration is worth clinical application.
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