方法：选取2012-05/2016-01我院眼科中心收治的220例386眼病情已经得到控制的原发性开角型青光眼患者，根据入院顺序分为中药组、常规组各110例，两组均予以小梁切除术等常规方法治疗，中药组同时给予通窍明目汤连续治疗3个疗程(15d为一个疗程)。

结果：治疗后，两组患者治疗后的视力较治疗前均提高，差异有统计学意义(P<0.05)，中药组患者的视野平均光敏度高于常规组，差异有统计学意义(P<0.01)，平均缺损值均低于常规组，差异有统计学意义(P<0.05)； 中药组视网膜中央动脉血流PSA、EDV测定值高于常规组，差异有统计学意义(P<0.05)，RI测定值低于常规组，差异有统计学意义(P<0.05)； 治疗后，中药组总有效率为77.8%，常规组为60.8%，差异具有统计学意义(P<0.05)。

结论：中药通窍明目汤辅助治疗原发性开角型青光眼有利于改善血流循环、扩大视野、提高治疗效果。

METHODS: Totally 220 patients(386 eyes)with primary open angle glaucoma in our hospital from May 2012 to January 2016 were selected. According to the order of admission they were divided into Chinese medicine group and normal group, 110 patients in each. Normal group was treated with trabeculectomy and routine treatment, traditional Chinese medicine group was given TQMM decoction for 3 courses beside the treatment of normal group(15d for a course of treatment).

RESULTS: After treatment, visual acuity of the two groups improved(P<0.05). vision sensitivity of Chinese medicine group was higher than the normal group(P<0.01); mean defect was lower than the normal group(P<0.05); central retinal artery blood PSA and EDV of Chinese medicine group were higher than those in normal group(P<0.05); RI was lower than that of normal group(P<0.05). After treatment, the total efficiency rate of Chinese medicine group was 77.8%, that was 60.8% of normal group(P<0.05).

CONCLUSION: TQMM decoction auxiliary treatment of primary open angle glaucoma is helpful to improve blood circulation, to expand visual field, and to improve the effect of treatment.