先天性青光眼的原发性小梁切除术
Primary trabeculectomy in congenital glaucoma.
作者信息
Burke J P, Bowell R
机构信息
Department of Ophthalmology, Mater Misericordiae Hospital, Dublin, Ireland.
出版信息
Br J Ophthalmol. 1989 Mar;73(3):186-90. doi: 10.1136/bjo.73.3.186.
Abstract
The reported success rates in the treatment of congenital glaucoma with goniotomy, trabeculotomy, and trabeculectomy suggest that trabeculectomy should be performed if the other procedures fail. We propose that the decision to perform primary trabeculectomy in primary and secondary congenital glaucoma reduces the effect which the many variable findings in surgical anatomy may have on the outcome of other procedures. This is a retrospective study of the results of primary trabeculectomy in 21 consecutive eyes of 15 patients with congenital glaucoma. Eighteen of 13 patients' eyes were controlled after a single trabeculectomy and remained controlled after a mean follow-up of 3.9 years (range 1.5 to 6.7 years). The role of primary trabeculectomy in congenital glaucoma merits further consideration.
摘要
报道的前房角切开术、小梁切开术和小梁切除术治疗先天性青光眼的成功率表明，如果其他手术失败，应进行小梁切除术。我们认为，在原发性和继发性先天性青光眼中决定进行原发性小梁切除术可减少手术解剖结构中许多可变因素对其他手术结果可能产生的影响。这是一项对15例先天性青光眼患者的21只连续眼睛进行原发性小梁切除术结果的回顾性研究。13例患者的18只眼睛在单次小梁切除术后得到控制，平均随访3.9年（范围1.5至6.7年）后仍保持控制。原发性小梁切除术在先天性青光眼中的作用值得进一步考虑。
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