Schocket S S, Nirankari V S, Lakhanpal V, Richards R D, Lerner B C
Ophthalmology. 1985 Apr;92(4):553-62. doi: 10.1016/s0161-6420(85)34009-5.
Long-term follow-up results of the anterior chamber tube shunt to an encircling band (ACTSEB) procedure are reported. Thirty eyes of 28 patients with neovascular glaucoma (Group I) and five eyes with non-neovascular refractory glaucoma (Group II) underwent this procedure. In Group I, the average preoperative intraocular pressure (IOP) was 57.1 mmHg. After surgery and average followup of 25 months 96% of eyes had a successful outcome with an average IOP of 15.8 mmHg (P less than 0.001). In Group II, despite multiple glaucoma surgical procedures, the average preoperative IOP was 54 mmHg. After surgery and average followup of 20 months 80% of eyes had a successful outcome with an average IOP of 19.8 mmHg (P less than 0.01). Revisions in our surgical technique utilizing a small entry with a 25-gauge needle into the anterior chamber and use of Healon resulted in a fully formed anterior chamber by two days. Clinical and experimental evidence is presented which suggest that aqueous filters through the tube to a reservoir around the encircling band.
报告了前房引流管至环形带分流术（ACTSEB）的长期随访结果。28例新生血管性青光眼患者（第一组）的30只眼和5例非新生血管性难治性青光眼患者（第二组）的5只眼接受了该手术。在第一组中，术前平均眼压（IOP）为57.1 mmHg。手术及平均25个月的随访后，96%的患眼获得成功，平均眼压为15.8 mmHg（P<0.001）。在第二组中，尽管进行了多次青光眼手术，术前平均眼压仍为54 mmHg。手术及平均20个月的随访后，80%的患眼获得成功，平均眼压为19.8 mmHg（P<0.01）。我们的手术技术改进包括使用25号针头小切口进入前房并使用透明质酸钠，术后两天前房完全形成。提供了临床和实验证据，表明房水通过引流管流入环形带周围的储液腔。
