Whittaker K W, Gillow J T, Cunliffe I A
Birmingham and Midland Eye Centre, City Hospital NHS Trust, Birmingham, UK.
Eye (Lond). 2001 Aug;15(Pt 4):449-52. doi: 10.1038/eye.2001.153.
In recent years there have been significant developments in the diagnosis and treatment of glaucoma. We conducted a study to determine whether there has been an associated change in trabeculectomy rates in England over this period.
Figures for the total number of trabeculectomies and cataract operations performed in England for each year from 1989/90 to 1999/2000 were obtained from the Department of Health, Hospital Episode Statistics Division.
The available data show that the number of trabeculectomies and cataract operations increased year on year from 1990/91 until 1995/96. Since then, the number of cataract procedures has continued to rise dramatically, whereas the number of trabeculectomies has fallen progressively by 7%, 23%, 37% and 53% in the last 4 years.
The perceived need for surgical intervention would appear to have been delayed or prevented. We postulate that several factors underlie this trend and that there are a number of implications regarding the future management of glaucoma patients.
近年来青光眼的诊断和治疗有了重大进展。我们开展了一项研究，以确定在此期间英格兰小梁切除术的发生率是否有相关变化。
1989/90年至1999/2000年每年在英格兰进行的小梁切除术和白内障手术总数的数据，是从卫生部医院事件统计司获取的。
现有数据显示，1990/91年至1995/96年小梁切除术和白内障手术的数量逐年增加。从那时起，白内障手术的数量继续大幅上升，而小梁切除术的数量在过去4年中逐年下降了7%、23%、37%和53%。
对外科干预的明显需求似乎已被推迟或避免。我们推测这一趋势有几个因素作为基础，并且对于青光眼患者的未来管理有许多影响。
