AIM: To evaluate the effect of trabecular filtration surgery combined with scleral interlayer filled with silicon rubber for refractory glaucoma and its complications.

METHODS: A total of 32 cases(32 eyes)of refractory glaucoma underwent trabecular filtration surgery combined with sclera interlayer filled silicone piece, namely trabeculectomy combined silicon rubber filled in sclera between layers was as experimental group. Twenty-one cases(21 eyes)treated by simple trabecular filtration surgery were as control group. Reducing effect of intraocular pressure(IOP)and complications of two groups were observed after operation.

RESULTS: Postoperative follow-up was 6-24 months. The mean IOP was 14.36±5.2mmHg(1mmHg=0.133kPa)in experimental group and 23.36±9.3mmHg in control group after operation. IOP of three eyes(9.4%)in experimental group and 5 eyes(23.8%)in control group was over 30mmHg. There was no serious complications and rejection correlated with silicone piece during the follow-up period.

CONCLUSION:Silicone piece filled between sclera layer is an effective method for refractory glaucoma, and can effectively reduce IOP. Due to its economic, convenient, especially can replace expensive imported drainage plant figure treatment of refractory glaucoma in our country the grass-roots hospital, it should be widely applied.