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[考虑视神经耐受性的晚期和极晚期原发性青光眼患者治疗方法的选择]

[The choice of treatment method for primary glaucoma patients at an advanced and far-advanced stage taking into account optic nerve tolerance].

作者信息

Bezdetov P A, Pereuznik Iu F, Amin Samir A S

出版信息

Oftalmol Zh. 1990(2):92-4.

PMID:2280951
Abstract

The paper analyses results of observation over 100 patients (138 eyes) with advanced and far-advanced stages of primary glaucoma. The choice of the method of hypotensive therapy (conservative or surgical) was made considering the index of intolerance. Stabilization of the glaucomatous process was judged by the dynamics of visual field, hydrodynamic indices and the index of intolerance. In remote terms of observation (from 14 to 18 months), stabilization of the glaucomatous process at both stages of glaucoma in patients treated considering the index of intolerance was recorded in 92.15% of cases. The results obtained allow to recommend the proposed method to be a method of choice for treatment of primary glaucoma.

摘要

本文分析了100例(138只眼)原发性青光眼晚期和极晚期患者的观察结果。降压治疗方法(保守或手术)的选择是根据不耐受指数做出的。通过视野动态、流体动力学指标和不耐受指数来判断青光眼病情的稳定情况。在远期观察(14至18个月)中,根据不耐受指数进行治疗的患者,青光眼两个阶段的病情稳定率在92.15%的病例中得到记录。所获得的结果表明,所提出的方法可推荐为原发性青光眼的首选治疗方法。

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