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[青光眼前期和原发性开角型青光眼患者颞浅动脉解剖的手术结果]

[Surgical results of dissection of the superficial temporal artery in patients with preglaucoma and initial open-angle glaucoma].

作者信息

Shilkin G A, Iartseva N S, Mironova E M, Oreshkina R M, Mikhaĭlova G D

出版信息

Oftalmol Zh. 1989(2):93-6.

PMID:2755669
Abstract

Results of superficial temporal artery dissection performed in 42 patients (44 eyes) with preglaucoma and initial open-angle glaucoma have shown no impairement of visual field, visual acuity, optic disc in the period from 0.5 to 1.5 years after it. The increased linear rate of bloodflow after the operation remained stable in 17 eyes of patients with preglaucoma and in 14 eyes of patients with glaucoma. Intraocular pressure became normalized in 20 and 19 eyes as well as intraocular fluid outflow in 14 and 13 eyes, respectively. In both groups there was a tendency to normalization of retinal functions and hydrodynamics of the eye. Thus, the operation produces improvement of regional bloodflow, tonographic and electrophysiologic indices. Its usage is considered to be reasonable, but, when determining indications to it, an individual approach is necessary.

摘要

对42例(44只眼)青光眼前期和原发性开角型青光眼患者进行颞浅动脉剥离术的结果显示,术后0.5至1.5年期间,视野、视力、视盘均未受损。青光眼前期患者的17只眼和青光眼患者的14只眼中,术后血流线性速率增加保持稳定。分别有20只眼和19只眼的眼压恢复正常,14只眼和13只眼的房水流出恢复正常。两组患者的视网膜功能和眼内流体动力学均有恢复正常的趋势。因此,该手术可改善局部血流、眼压描记和电生理指标。其应用被认为是合理的,但在确定手术适应症时,需要采取个体化方法。

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