Spiegel D, Shrader R R, Wilson R P
Ludwig-Maximilians-Universität München, Germany.
Ophthalmic Surg. 1992 Dec;23(12):804-7.
We reviewed a series of 42 eyes in patients with refractory glaucoma who had undergone a Schocket procedure. The mean follow up was 17.5 months; the minimal follow up, 8 months. The success rate was 81%, with "success" defined as either (1) an intraocular pressure less than 21 and greater than 5 mm Hg, with a pressure reduction of at least 10%, and less or no medication; or (2) a pressure reduction of at least 30%, with no change of medication. When eyes with a loss of more then one Snellen line of visual acuity were interpreted as failures, the success rate dropped to 61%. Forty percent of all cases required revision. In four cases, the shunt had to be removed (three cases due to hypotony and one secondary to conjunctival erosion). These results are in the range of those obtained by other investigators using this technique or other tube-shunt procedures.
我们回顾了一组42例接受Schocket手术的难治性青光眼患者的眼部情况。平均随访时间为17.5个月；最短随访时间为8个月。成功率为81%，“成功”定义为：（1）眼压低于21mmHg且高于5mmHg，眼压降低至少10%，且用药减少或不用药；或（2）眼压降低至少30%，且用药无变化。当视力下降超过1行Snellen视力表被判定为失败时，成功率降至61%。所有病例中有40%需要进行翻修。在4例病例中，分流管不得不被移除（3例因低眼压，1例继发于结膜糜烂）。这些结果与其他使用该技术或其他引流管分流手术的研究者所获得的结果范围相符。
