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[葡萄膜性青光眼的外科治疗]

[The surgical treatment of uveal glaucoma].

作者信息

Pen'kov M A, Zubarev S F, Avrushchenko N M, Butkevich Z I, Panchenko N V

出版信息

Oftalmol Zh. 1990(1):10-2.

PMID:2280914
Abstract

The paper describes results after surgical treatment of 17 eyes with uveal glaucoma. Since conservative treatment could not achieve normalization of intraocular pressure, the following surgical interventions were made; peripheral intralamellar iridencleisis (7 eyes), sinusotrabeculectomy with basal iridectomy (4 eyes), iridocycloretraction (2 eyes), diathermocoagulation of the ciliary body (2 eyes), drainage by a silicon tube (2 eyes). Surgical complications were hyphema in 2 eyes, injury of the lens capsule in 1 eye; in 4 eyes a slight aggravation of the uveal process after the surgery was arrested by antiinflammatory therapy. Intraocular pressure normalized in 15 eyes. Visual functions increased in patients with early diagnosed and operated glaucoma; in far-advanced cases the operation removed pains, but no functional effect was achieved.

摘要

本文描述了17只葡萄膜性青光眼眼睛的手术治疗结果。由于保守治疗无法使眼压恢复正常,因此进行了以下手术干预:周边板层虹膜切除术(7只眼)、鼻窦小梁切除术联合基底虹膜切除术(4只眼)、虹膜睫状体后移术(2只眼)、睫状体透热凝固术(2只眼)、硅胶管引流术(2只眼)。手术并发症包括2只眼发生前房积血,1只眼晶状体囊膜损伤;4只眼术后葡萄膜病变稍有加重,经抗炎治疗后得到控制。15只眼眼压恢复正常。早期诊断并接受手术的青光眼患者视觉功能有所改善;在晚期病例中,手术消除了疼痛,但未取得功能改善效果。

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