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[基于对疾病初期接受手术患者的长期门诊观察数据的动态青光眼过程]

[The dynamic glaucomatous process based on the data from the long-term dispensary observations of patients operated on in the initial stage of the disease].

作者信息

Luchik V I

出版信息

Oftalmol Zh. 1990(2):79-82.

PMID:2280947
Abstract

Effectiveness of surgical treatment of primary initial glaucoma in remote terms has been studied in 179 patients (185 eyes). The period of observation was 20 years. Stable normalization of intraocular pressure in remote terms was recorded in 155 (83.77%) eyes, of them after a single operation in 121 (65.41%) eyes, after repeated operations in 16 (8.64%), after operation and pilocarpine instillations into the operated eye in 12 (6.48%) and clofeline or optimole instillations into the operated eye in 6 (3.24%) eyes. The cause of unstable normalization of intraocular pressure was cicatrization in the area of filtration zone and the presence of synechiae in the anterior chamber angle. Stabilization of glaucomatous process was achieved in 101 (54.59%) of 185 eyes operated on. The fall of central vision was connected with both progression of glaucoma and the presence of associated diseases (cataract, macular dystrophy, etc.).

摘要

对179例患者(185只眼)进行了原发性初发性青光眼手术远期疗效的研究。观察期为20年。远期眼压稳定正常的有155只眼(83.77%),其中单次手术后眼压稳定正常的有121只眼(65.41%),多次手术后眼压稳定正常的有16只眼(8.64%),手术联合对手术眼滴用毛果芸香碱后眼压稳定正常的有12只眼(6.48%),手术联合对手术眼滴用可乐定或奥普托莫尔后眼压稳定正常的有6只眼(3.24%)。眼压未能稳定正常的原因是滤过区瘢痕形成以及前房角存在粘连。在接受手术的185只眼中,101只眼(54.59%)的青光眼病情得到了控制。中心视力下降与青光眼进展以及存在相关疾病(白内障、黄斑营养不良等)有关。

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