Kanski J J, McAllister J A
Ophthalmology. 1985 Jul;92(7):927-30. doi: 10.1016/s0161-6420(85)33933-7.
A modified goniotomy (trabeculodialysis) was performed on 30 eyes of 23 patients with secondary glaucoma due to chronic anterior uveitis. All but two patients also suffered from juvenile chronic arthritis (Still's disease, juvenile rheumatoid arthritis). Trabeculodialysis was unsuccessful in lowering intraocular pressure to below 21 mmHg in 12 (40%) of eyes and successful in 18 (60%) of eyes. Of the 18 successful cases, 5 required no additional medication, but in 13 cases the intraocular pressure could only be maintained at a normal level by concomitant anti-glaucoma therapy. The presence of aphakia, extent of preoperative angle closure, and patient's age had no bearing on the outcome.
对23例因慢性前葡萄膜炎继发青光眼患者的30只眼进行了改良房角切开术（小梁切开术）。除2例患者外，其余所有患者还患有青少年慢性关节炎（斯蒂尔病、青少年类风湿性关节炎）。小梁切开术在12只眼（40%）中未能将眼压降低至21 mmHg以下，在18只眼（60%）中取得成功。在18例成功病例中，5例无需额外用药，但在13例中，仅通过联合抗青光眼治疗才能将眼压维持在正常水平。无晶状体眼的存在、术前房角关闭的程度以及患者年龄对手术结果均无影响。
