Fu Y A, Liaw Z C
Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan, Republic of China.
Ann Ophthalmol. 1987 Nov;19(11):419-22.
Gonioplasty with trabeculoplasty was used to treat 31 eyes of 25 patients (15 men and 10 women) with chronic angle-closure glaucoma. Ages ranged from 40 to 82 years (average, 60.4 yrs). The follow-up period was three to 36 months (average, 1 yr). During this time, 60% to 80% of eyes have maintained an intraocular pressure (IOP) less than 21 mm Hg and/or required less medication. The average IOP reduction was 7.9 mm Hg. Complications included focal, peaking, peripheral anterior synechiae in the lasered area in 19 of 31 eyes (61%), and permanently increased IOP in two of 31 eyes (6%). Gonioplasty was a useful method to differentiate between appositional angle closure and that due to peripheral anterior synechiae. After combined treatment, the chamber angle has remained open for more than a year in 60% to 80% of eyes.
采用房角成形术联合小梁成形术治疗25例（男15例，女10例）慢性闭角型青光眼患者的31只眼。年龄范围为40至82岁（平均60.4岁）。随访期为3至36个月（平均1年）。在此期间，60%至80%的患眼眼压维持在21 mmHg以下和/或所需药物减少。眼压平均降低7.9 mmHg。并发症包括31只眼中19只眼（61%）在激光治疗区域出现局部、尖峰状周边前粘连，31只眼中2只眼（6%）眼压永久性升高。房角成形术是鉴别并发性房角关闭和周边前粘连所致房角关闭的一种有用方法。联合治疗后，60%至80%的患眼房角开放超过1年。
