Hansen S, Laursen A B
Acta Ophthalmol (Copenh). 1986 Apr;64(2):142-5. doi: 10.1111/j.1755-3768.1986.tb06890.x.
Visualized cyclodialysis was carried out in 16 consecutive cases of operation-demanding glaucoma, where trabeculectomy was considered inexpedient. In 9 cases simultaneous cataract extraction was carried out. At follow-up 2-34 months (median = 15) post-operatively, the IOP had decreased from a median value of 32 mmHg (range 21-44) to a median value of 17 mmHg (range 7-28) in 15 out of 16 eyes. The 16th eye had to be eviscerated because of pain before and after an inefficient cyclodialysis. Five eyes were reoperated upon. Essential complications were 2 cases of central visual field impairment and 1 case of arteriovenous occlusion after cyclodialysis revision. We find visualized cyclodialysis a useful procedure for aphakic glaucoma as well as for re-operations. Frequent post-operative examinations are necessary for 1-2 months post-operatively.
对16例需要手术治疗的青光眼患者进行了可视化睫状体分离术,这些患者被认为不适合进行小梁切除术。其中9例同时进行了白内障摘除术。术后随访2至34个月(中位数 = 15个月),16只眼中有15只眼的眼压从中位数32 mmHg(范围21 - 44 mmHg)降至中位数17 mmHg(范围7 - 28 mmHg)。第16只眼因睫状体分离术效果不佳前后均疼痛而不得不进行眼内容剜除术。5只眼进行了再次手术。主要并发症为2例中央视野损害和1例睫状体分离术修复术后动静脉阻塞。我们发现可视化睫状体分离术对无晶状体性青光眼以及再次手术是一种有用的手术方法。术后1 - 2个月需要频繁进行术后检查。