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[开角型和闭角型青光眼患者小梁切除术的长期结果]

[Long-term results of trabeculectomy in patients with open angle and angle-closure glaucoma].

作者信息

Pałenga-Pydyn Dorota, Grymin Hanna, Kowalska Grazyna, Langner Piotr, Omulecki Wojciech

机构信息

Kliniki Chorób Oczu, Uniwersytetu Medycznego w Lodzi.

出版信息

Klin Oczna. 2004;106(1-2 Suppl):176-8.

Abstract

PURPOSE

To provide data on the long-term results of trabeculectomy performed in open angle and in chronic angle-closure glaucoma.

MATERIAL AND METHODS

Fifty nine eyes of 51 patients, underwent trabeculectomy from 1992 to 1994 in the Department of Ophthalmology, Medical University of Lodz. The follow up was minimum 10 years. Such pre- and postoperative measurements, as: visual acuity, intraocular pressure (IOP), visual field and the use of hypotensive medications, were evaluated.

RESULTS

Successful IOP control was obtained in 91%. After 10-years follow-up the average IOP was 15 mmHg. The decrease in visual acuity was found in 25% of eyes, caused mainly by cataract. In 71% of eyes (10 years after surgery) additional topical medication was required.

CONCLUSIONS

Trabeculectomy is effective and very often performed surgery in glaucoma.

摘要

目的

提供开角型和慢性闭角型青光眼小梁切除术的长期结果数据。

材料与方法

1992年至1994年期间,罗兹医科大学眼科对51例患者的59只眼睛进行了小梁切除术。随访时间至少为10年。评估了诸如视力、眼压(IOP)、视野和降压药物使用等术前和术后测量指标。

结果

91%的患者眼压得到成功控制。随访10年后,平均眼压为15 mmHg。25%的眼睛出现视力下降,主要原因是白内障。71%的眼睛(术后10年)需要额外使用局部药物。

结论

小梁切除术是治疗青光眼的一种有效且常用的手术方法。

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