Chiseliţă D, Bogdanici C, Hulubaş D, Muntian A, Vancea P P
Clinica oftalmologică Iaşi.
Oftalmologia. 1997;41(2):39-44.
Analysis of the results of primary trabeculectomy in the treatment of congenital glaucoma.
Retrospective study of a series of 62 patients with primary trabeculectomy for congenital glaucoma, with a mean follow-up period of 2.22+/-2.86 years.
The last controlled intraocular pressure (IOP) was higher for the patients in the age group 0-1 year (16.9+/-8) as compared with the patients older than 1 year (14.9+/-7). An intraocular pressure < or = 20 mmHg without additional medication has been found in 58.3% of the cases in the 0-1 year age group, versus 65.8% in the group of patients older than 1 year. The number of reoperations was higher in the 0-1 year age group (14), as compared with the group of patients older than 1 year (8). The rate of qualified therapeutic success (IOP < or = 20 mmHg) was 79.1% in the 0-1 year age group, versus 85.5% in the group of patients older than 1 year.
Primary trabeculectomy is effective in the treatment of congenital glaucoma. The poorer results in the group of patients under 1 year of age is correlated with disease severity. The rate of favorable results is increased by reoperation, the majority of surgical failures belonging to the group of patients who needed reoperations.
分析原发性小梁切除术治疗先天性青光眼的结果。
对62例行原发性小梁切除术治疗先天性青光眼的患者进行回顾性研究，平均随访时间为2.22±2.86年。
0至1岁年龄组患者的末次眼压控制值（16.9±8）高于1岁以上患者（14.9±7）。0至1岁年龄组58.3%的病例眼压≤20 mmHg且无需额外用药，而1岁以上患者组这一比例为65.8%。0至1岁年龄组的再次手术例数（14例）高于1岁以上患者组（8例）。0至1岁年龄组的有效治疗成功率（眼压≤20 mmHg）为79.1%，而1岁以上患者组为85.5%。
原发性小梁切除术治疗先天性青光眼有效。1岁以下患者组效果较差与疾病严重程度相关。再次手术可提高良好结果的比例，大多数手术失败病例属于需要再次手术的患者组。
