Friedman Z, Neumann E
Am J Ophthalmol. 1975 Oct;80(4):702-5. doi: 10.1016/0002-9394(75)90403-1.
In 11 of 12 eyes with chronic simple glaucoma after surgery for retinal detachment, intraocular pressures were decreased for one to 5 1/2 years without any antiglaucomatous treatment. No further deterioration in the state of the optic disks or the visual fields occurred in any of these eyes. In all 12 fellow eyes antiglaucomatous treatment is still being administered. The operation employed in nine of the 11 cases consisted of an encircling silicone rubber band shortened by 15 to 20% of its length when placed around the eyeball before tapping subretinal fluid. An episcleral silicone implant was placed under the encircling ban in seven of these eyes. Kinking and possibly narrowing of the long posterior ciliary arteries by the encircling silicone band probably caused the ciliary hyposecretion and the resultant hypotony.
在12例视网膜脱离手术后患有慢性单纯性青光眼的患者中,有11例在未进行任何抗青光眼治疗的情况下,眼压降低了1至5年半。这些眼睛中没有任何一只出现视盘或视野状态的进一步恶化。所有12例对侧眼仍在进行抗青光眼治疗。11例中的9例所采用的手术包括在放出视网膜下液之前,围绕眼球放置一条硅橡胶带,并将其长度缩短15%至20%。其中7只眼在环绕带下方放置了巩膜外硅植入物。环绕的硅橡胶带可能导致长后睫状动脉扭结并可能变窄,从而引起睫状体分泌减少和随之而来的低眼压。