Koch J M, Tenger M, Goldmann D, Mellin K B, Waubke T N
Klinik und Poliklinik für Augenheilkunde, Universitäts-Augenklinik, Essen, Bundesrepublik Deutschland.
Fortschr Ophthalmol. 1990;87(5):449-52.
In 69 of 107 patients with primary angle-closure glaucoma, it was possible to control intraocular pressure and visual fields by means of peripheral surgical iridectomy; in 17 of these patients topical glaucoma medication was required in addition. In 11 cases a second surgical operation other than iridectomy was necessary: 6 lensectomies for malignant glaucoma in 2 cases and lens subluxation or phacomorphic glaucoma in 4 and 5 filtering procedures. Among the 85 treated fellow eyes 68 were controlled by iridectomy alone and 17 eyes needed additional topical glaucoma medication. One case of persisting wound leakage from the corneo/scleral wound was the only complication observed in this study. The advantages and disadvantages of peripheral surgical iridectomy are compared with those of argon and neodymium: YAG iridotomies. Owing to the low rate of complications the authors apply the surgical approach as the routine technique for primary angleclosure glaucoma.
107例原发性闭角型青光眼患者中，69例可通过周边手术虹膜切除术控制眼压和视野；其中17例患者还需要局部应用青光眼药物。11例患者需要进行除虹膜切除术以外的第二次手术：2例因恶性青光眼行晶状体摘除术，4例因晶状体半脱位或晶状体膨胀性青光眼行晶状体摘除术，5例行滤过手术。在85只接受治疗的对侧眼中，68只仅通过虹膜切除术得到控制，17只眼需要额外局部应用青光眼药物。角膜/巩膜伤口持续漏液1例是本研究中观察到的唯一并发症。将周边手术虹膜切除术的优缺点与氩激光和钕：钇铝石榴石激光虹膜切开术的优缺点进行了比较。由于并发症发生率低，作者将手术方法作为原发性闭角型青光眼的常规技术。
