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[先天性青光眼及年轻人青光眼的手术结果]

[Surgical results in congenital glaucoma and in glaucoma in young persons].

作者信息

Demin A L, Zelenskiĭ I A

出版信息

Oftalmol Zh. 1989(3):144-6.

PMID:2797671
Abstract

The paper analyses results after observation over 38 patients (52 eyes operated on) divided into 2 groups: group I included 19 patients (29 eyes) with primary congenital glaucoma (hydrophthalmos) and group II consisting of 19 patients (23 eyes) with glaucoma associated with congenital anomalies. Trabeculotomy ab externo was made in 16 eyes, sinusotrabeculectomy after Kernz--in 9 cases. Trabeculotomy after Grusha and Sokolovskiĭ was made in 10 eyes, valvar trabeculotomy after Nesterov--in 17 eyes. It is pointed out that as a result of microsurgical operations hypotensive effect was achieved in 90.4% of cases both in immediate and remote terms. The obtained results once again confirm that early diagnosis and timely surgical treatment of hydrophthalmos is a necessary condition for a favourable prognosis of the disease.

摘要

该论文分析了对38例患者(52只接受手术的眼睛)进行观察后的结果,这些患者被分为两组:第一组包括19例原发性先天性青光眼(水眼症)患者(29只眼睛),第二组由19例伴有先天性异常的青光眼患者(23只眼睛)组成。16只眼睛进行了外路小梁切开术,9例进行了克恩茨术后鼻窦小梁切除术。10只眼睛进行了格鲁沙和索科洛夫斯基术后小梁切开术,17只眼睛进行了涅斯捷罗夫术后瓣膜小梁切开术。指出通过显微手术,无论在近期还是远期,90.4%的病例都取得了降压效果。所获得的结果再次证实,早期诊断和及时的水眼症手术治疗是该疾病良好预后的必要条件。

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