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[小梁切除术与白内障摘除术同时进行的结果与显微镜评估的比较]

[Comparison of the results of simultaneous trabeculectomy and cataract extraction with microscopic evaluation].

作者信息

Skubiszewska T, Mrzygłód S, Warczyński A, Gawron L

机构信息

Kliniki Okulistycznej Centralnego Szpitala Klinicznego, WAM w Warszawie, Poland.

出版信息

Klin Oczna. 1990 Dec;92(11-12):223-5.

PMID:2090866
Abstract

The dependence of hydrodynamics on the topography of trabeculectomy performed simultaneously with cataract extraction was checked in 35 eyes with cataract and glaucoma. The eye was opened by a three-surface incision with a broad scleral flap. The specimen were examined in a microscope. In 21 eyes the whole trabeculum together with Schlemm's canal were excised, in 12 eyes the anterior band. In the specimen from 2 eyes no elements of the trabeculum could be found. The dependence of the regulation of the IOP on the geography of the trabeculectomy was established. Accepting the filtering mechanism of the trabeculectomy one may assume that the applied method of incision promotes the formation of the outflow++ ways of the aqueous in a high percentage of cases.

摘要

在35例伴有白内障和青光眼的眼中,检查了与白内障摘除术同时进行的小梁切除术的流体动力学对手术地形的依赖性。通过带有宽巩膜瓣的三平面切口打开眼球。标本在显微镜下检查。21只眼中切除了整个小梁及施莱姆管,12只眼中切除了前带。在2只眼的标本中未发现小梁成分。确定了眼压调节对小梁切除术地形的依赖性。接受小梁切除术的滤过机制,可以假定所应用的切口方法在高比例病例中促进了房水流出通道的形成。

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