Babushkin A E
Vestn Oftalmol. 1992 May-Jun;108(3):27-9.
The author suggests double trabeculectomy with episclera resection and anguloplasty to be performed in cases with uncompensated open-angle glaucoma. Each of the elements of such surgery is aimed at slowing down the reparative processes in various sections of the fistulous route and therefore this route can function longer. Forty-six patients (50 eyes) with primary open-angle glaucoma were operated on. Normalization of the ophthalmic tone immediately after surgery was achieved in 100% of cases. The results of surgery were followed up in 30 patients (32 eyes) for 6 months to 2 years. Stable normalization of intraocular pressure was achieved in 97% of cases, vision acuity in 81%, and visual field in 91% of those operated on. Good stable hypotensive effect of such surgery recommends it most of all for patients at a high risk of excessive cicatrization (young patients, repeated surgery, etc.).
作者建议对未代偿性开角型青光眼患者施行带巩膜切除和房角成形术的双重小梁切除术。这种手术的每个环节都旨在减缓瘘管路径各部位的修复过程，因此该路径能发挥更长时间的功能。对46例（50只眼）原发性开角型青光眼患者进行了手术。术后100%的病例眼压立即恢复正常。对30例（32只眼）患者的手术结果进行了6个月至2年的随访。97%的手术病例眼压稳定恢复正常，81%的病例视力恢复正常，91%的病例视野恢复正常。这种手术良好而稳定的降压效果使其最适合于有过度瘢痕化高风险的患者（年轻患者、再次手术等）。
