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原发性开角型青光眼和慢性原发性闭角型青光眼小梁切除术及三联手术的长期眼压控制

Long-term intraocular pressure control of trabeculectomy and triple procedure in primary open angle glaucoma and chronic primary angle closure glaucoma.

作者信息

Hong Samin, Park Kyoungsoo, Ha Seung Joo, Yeom Ho Yeop, Seong Gong Je, Hong Young Jae

机构信息

Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, South Korea.

出版信息

Ophthalmologica. 2007;221(6):395-401. doi: 10.1159/000107499.

Abstract

To evaluate the long-term intraocular pressure (IOP) control of trabeculectomy and triple procedure (cataract extraction by phacoemulsification, intraocular lens implantation and trabeculectomy), 1,542 eyes of 900 patients with primary open angle glaucoma (POAG) or chronic primary angle closure glaucoma (CPACG) were included. When success was defined as an IOP reduction of at least 30% from baseline, with or without antiglaucoma medications, the overall probability of success of trabeculectomy and triple procedure was 0.613 and 0.733 at 15 years, respectively. The success probability of trabeculectomy and triple procedure in reducing IOP below 18 mm Hg was 0.748 and 0.825 at 15 years, respectively. In POAG and CPACG patients, trabeculectomy and triple procedure were effective in reducing IOP for up to 15 years after surgery.

摘要

为评估小梁切除术和三联手术(超声乳化白内障摘除术、人工晶状体植入术和小梁切除术)对眼压的长期控制效果,纳入了900例原发性开角型青光眼(POAG)或慢性原发性闭角型青光眼(CPACG)患者的1542只眼。当成功定义为眼压从基线水平降低至少30%(无论是否使用抗青光眼药物)时,小梁切除术和三联手术在15年时的总体成功概率分别为0.613和0.733。小梁切除术和三联手术将眼压降低至18 mmHg以下的成功概率在15年时分别为0.748和0.825。在POAG和CPACG患者中,小梁切除术和三联手术在术后长达15年的时间里均能有效降低眼压。

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