Kashintseva L T, Mel'nik L S, Salenko S V
Oftalmol Zh. 1990(2):75-9.
The paper analyses immediate and remote (to 4.5 years) results after sinusotrabeculotomy in 233 patients (244 eyes) with open-angle glaucoma. Among 244 eyes, 93 had initial, 87--advanced, and 64--far-advanced stages of glaucoma. It is recorded that such postoperative complications, as detachment of the choroid and hypotony, appear rarer in initial (12.5% and 15.0%, respectively), than in far-advanced (18.7% and 20.3%, respectively) stage of glaucoma. In remote terms after operation, the incidence of visual acuity and visual field preservation is higher in initial (92.5% and 95.7%, respectively), than in advanced (78.2% and 87.4%), and, in particular, far-advanced (70.3% and 79.7%) stages of the disease. After surgery at initial stage of glaucoma, restoration of tonographic values is more expressed (C = 0.24 +/- 0.004, F = 2.1 +/- 0.03), than at advanced (C = 0.23 +/- 0.007, F = 1.8 +/- 0.06) and far-advanced (C = 0.19 +/- 0.005, F = 1.1 +/- 0.04) stages. It is emphasized that in order to achieve the highest effectiveness of surgical treatment at the initial stage of open-angle glaucoma, the ophthalmic surgeon should be highly skilled in this field of surgical treatment of such patients.
本文分析了233例（244只眼）开角型青光眼患者行鼻窦小梁切开术后的近期和远期（至4.5年）结果。在244只眼中，93只处于青光眼的初期，87只处于进展期，64只处于晚期。记录显示，脉络膜脱离和低眼压等术后并发症在青光眼初期（分别为12.5%和15.0%）比晚期（分别为18.7%和20.3%）出现得更少。术后远期，初期患者视力和视野保留率（分别为92.5%和95.7%）高于进展期（78.2%和87.4%），尤其是晚期（70.3%和79.7%）。青光眼初期手术后，眼压描记值的恢复比进展期（C = 0.23 +/- 0.007，F = 1.8 +/- 0.06）和晚期（C = 0.19 +/- 0.005，F = 1.1 +/- 0.04）更明显（C = 0.24 +/- 0.004，F = 2.1 +/- 0.03）。强调为了在开角型青光眼初期实现手术治疗的最高疗效，眼科医生应在这类患者的手术治疗领域具备高超技能。
