Huygens M, Vercruysse K, Goethals M, Missotten L
Department of Ophthalmology, U.Z. St. Rafaël, Leuven, Belgium.
Bull Soc Belge Ophtalmol. 1990;238:125-35.
The results of the surgical procedure of trabeculectomy as performed in our hospital on 100 eyes (67 patients) are presented. At the end of the follow-up period, with a range of 1 to 5 years and a mean follow-up of 36 months, there was an overall success rate of 68%. Criteria for success included no further visual field loss or disc damage, and no glaucomatous etiology for a decrease in visual acuity. Only in half of failure cases an IOP of more than 20 mmHg was recorded at least once during the follow-up period. Hyphaema, resolving most of the time in less than 7 days, was the most frequent postoperative complication (66%), followed by hypotomia (29%). Progression of lensopacities occurred in 22% of eyes.
本文呈现了我院对100只眼(67例患者)实施小梁切除术的手术结果。随访期为1至5年,平均随访36个月,总体成功率为68%。成功标准包括无进一步的视野缺损或视盘损害,且视力下降无青光眼病因。仅在一半的失败病例中,随访期间至少有一次眼压记录超过20 mmHg。前房积血是最常见的术后并发症(66%),多数在7天内消退,其次是低眼压(29%)。22%的患眼出现晶状体混浊进展。