Hyams S W, Friedman Z, Keroub C
Br J Ophthalmol. 1975 Apr;59(4):207-10. doi: 10.1136/bjo.59.4.207.
118 consecutive patients with angle-closure glaucoma (ACG) were investigated. The primarily affected eye presented with acute ACG in 71 patients, with intermittent or chronic ACG in 41, and with acute ACG secondary to intumescent cataract in six. ACG was demonstrated in the fellow eye in 85 of the 118 patients (72 per cent.), including 72, 71, and 83 per cent. respectively of the three groups distinguished above. In 27 fellow eyes, ACG was demonstrable only by provocative testing. Eleven patients failed to return for follow-up investigation. A routine prophylactic peripheral iridectomy in the fellow eye is justified in patients who are unlikely to attend for follow-up examinations,, but may be avoided in about 23 per cent. of patients who attend regularly.
对118例原发性闭角型青光眼（ACG）患者进行了调查。71例患者的患眼表现为急性ACG，41例为间歇性或慢性ACG，6例为膨胀期白内障继发急性ACG。118例患者中，85例（72%）的对侧眼患有ACG，分别占上述三组患者的72%、71%和83%。在27只对侧眼中，ACG仅通过激发试验才能检测到。11例患者未返回进行随访调查。对于不太可能前来进行随访检查的患者，对侧眼进行常规预防性周边虹膜切除术是合理的，但在约23%定期前来就诊的患者中可以避免。
