Bakurskaia V Ia, Kunin V D
Oftalmol Zh. 1989(1):20-3.
On the basis of a prolonged dispensary observation (from 14 to 27 years) over 107 patients, the authors have studied timeliness of therapeutic and surgical treatment, dynamics of glaucomatous process after 3, 6, 9, 12, 15, 18, 21-27 years. In the beginning of the observation, initial and advanced stages (88.5%) with a moderate rise of intraocular pressure (69%) prevailed. With prolongation of observation, initial stages regularly turn into subsequent ones, sometimes in the presence of normal values of intraocular pressure. Stabilization of glaucomatous process was most frequently observed in patients who had underwent regular complex medicamentous therapy and timely surgical treatment. Glaucoma of stage I most frequently turns into more advanced stages with decreased visual functions within first three years. Therefore, it is in this period when patients should be subjected to thorough dispensary observation, timely refer to in-patient's treatment, and the question about surgical treatment be decided in early terms.
基于对107例患者长达14至27年的门诊观察，作者研究了治疗和手术治疗的及时性，以及3、6、9、12、15、18、21至27年后青光眼病情的动态变化。在观察开始时，眼压中度升高的初期和晚期阶段（88.5%）占主导，其中眼压升高者占69%。随着观察时间的延长，初期阶段常转变为后续阶段，有时眼压值正常。青光眼病情稳定最常出现在接受正规综合药物治疗和及时手术治疗的患者中。I期青光眼在最初三年内最常转变为更晚期，同时视功能下降。因此，在此期间，患者应接受全面的门诊观察，及时住院治疗，并尽早决定是否进行手术治疗。
