摘要:目的 观察穿刺术对复合小梁切除术后包裹性囊状滤泡及结膜下房水积存使泪小点堵塞而导致的溢泪症的疗效。 方法 对10例10眼复合性小梁切除术后近期形成的包裹性囊状滤泡及5例6眼复合性小梁切除术后形成的结膜下房水积存导致的溢泪症进行穿刺术。 结果 包裹性囊状滤泡:10例10眼穿刺次数1～4次，平均2次。自术前眼压平均(31.5±5.2)mmHg降至术后即刻眼压平均(11.5±3.3)mmHg。追踪观察期间可见滤泡扁平弥散，眼压稳定于21mmHg以下。结膜下房水积存导致的溢泪症:5例6眼中2眼穿刺2次，其余均只穿刺1次。穿刺处结膜下积液吸收或明显减少，结膜不再堵塞泪小点，溢泪症状消失。 结论 穿刺术是处理复合小梁切除术后包裹性囊状滤泡及结膜下房水积存导致的溢泪症的安全、有效的方法。

    关键词:包裹性囊状滤泡;溢泪症;复合小梁切除术

    Clinical analysis of encapsulated filtering bleb and lacrimation after trabeulectomy with paracentisis.

    CHEN Hai-bo，OU Bo.

    (Department of Ophthalmology of Hainan Provincial People's Hospital，Haikou570311，Hainan，P.R.China)

    Abstract:Objective To evaluate the efficacy of paracentisis on treating encapsulated bleb and lacrimation after trabeculecto-my. Methods Encapsulated bleb:paracentisis was performed with a26-gauge tuberculin syringe on10eyes of10cases with en-capsulated blebs following trabeculectomy.2)lacrimation:paracentisis was performed with a26-gauge tuberculin syringe on6eyes of5cases ......