Objctive  To investigate the clinical effect of about modernTrabeculectomy.

Methods The patients were two group of glaucoma in cluding primary open angle glaucoma and chronic engle closure gl aucame divaidi two group．Modern trabeculec to my group 61例(12 0 eyes). The control group 65例 (113 eyes)underwent conventional trabeculectomy. The average follow-up period was 6 to 12 months  postoperative1y.

Results The postoperative in traocular pressures (IOP) were significantly lower than the preoperative IOPS in both groups．While the IOPS on the 7th day after the surgary between the two groups were not different significantl．The average postoperative IOP at the 6 th month in the Modern group was 14.34±3.95 mmHg and 19.57±7.76 mmHg in the control group. which were different significantly(P<0.05)．The incidence rate of shallow anterior chamber in the control group was higher than that in the modern group (P<0.05).
Conclusion Modern trabeculectomy has the advantages of preventing postoperative shallow anterior chamber filtering belbs and achieving better control of postoperative IOP over the convertional trabeculeclomy in primary open angle glaucoma and chronic engle closure glaucame.

目的  探讨巩膜瓣外置可拆除缝线在青光眼小梁切除术中的临床应用效果。
方法  对已确诊的开角型、闭角型青光眼病人，随机分为两组。现代小梁切除术组61例(120只眼)，即小梁切除及虹膜周边切除，巩膜瓣两角缝合后，再行巩膜瓣两侧外置可拆除缝线，水密缝合。设对照组，常规小梁切除术65例(113只眼)，术后随访6—12个月。
结果  术后1周两组眼压与术前相比差异有统计学意义，而两组间比较差异无统计学意义(t=1.85，P=0.08)；术后6个月现代组平均眼压(14.34±3.95)mmHg，对照组(19.57±7.76)mmHg，差异有统计学意义(P<0.05)，现代组功能性滤过泡92％，对照组73％，两组比较差异有统计学意义(X²=5.59，P=0.02)，术后浅前房对照组比现代组多，差异有统计学意义(P<0.05)。

结论  对于开角型和闭角型青光眼(原发性)与常规小梁切除术比较，现代小梁切除术在防止术后浅前房；术后滤过泡形成和眼压控制方面均有明显优势。