Xu X L, Mialhe J P, Bec P, Arne J L
J Fr Ophtalmol. 1985;8(3):219-25.
Argon laser trabeculoplasty (or trabeculoretraction) was used following WISE's technique in 100 cases of open angle glaucoma. The patients, all of different ages, presented with various forms of open angle glaucoma. In some cases, the intraocular pressure had not been normalized by the medical treatment, and in some others, the patients showed drug intolerance. We eliminated the patients whose angle was too narrow to allow photocoagulation. They were examined at regular intervals of 1 week, 2 weeks, 1 month, 3 months, 6 months and 12 months after therapy. Pressure figures only were considered in the therapeutic follow-up. After 12 months, the mean pressure drop was 7.3 mmHg after 180 degrees trabeculoplasty and 11.43 mmHg after 360 degrees trabeculoplasty, the latter consequently entailing a more considerable drop. Older subjects however showed a greater pressure decrease. We obtained less satisfactory results in cases of exfoliative syndrome glaucoma and pigmentary glaucoma. The important point is that pressure normalization was obtained--in most cases--only if the prior medical treatment was maintained either without any change or lightly reduced. The trabeculoplasty alone reduced ocular pressure in only 3.57% and in 9.09% respectively after 180 degrees and 360 degrees trabeculoplasty. We can therefore conclude from these observations that this technique is only an auxiliary method in open angle glaucomas that do not sufficiently respond to medical treatment.
在100例开角型青光眼患者中，采用WISE技术进行氩激光小梁成形术（或小梁牵拉术）。患者年龄各异，呈现出各种形式的开角型青光眼。在某些情况下，眼压经药物治疗未能恢复正常，在另一些情况下，患者表现出药物不耐受。我们排除了房角过窄无法进行光凝治疗的患者。在治疗后的1周、2周、1个月、3个月、6个月和12个月定期对他们进行检查。治疗随访仅考虑眼压数值。12个月后，180度小梁成形术后平均眼压下降7.3 mmHg，360度小梁成形术后平均眼压下降11.43 mmHg，因此后者眼压下降更为显著。然而，老年患者眼压下降幅度更大。在剥脱性青光眼和色素性青光眼病例中，我们获得的结果不太理想。重要的是，在大多数情况下，只有在维持原有药物治疗不变或轻微减量的情况下，眼压才能恢复正常。单纯小梁成形术在180度和360度小梁成形术后分别仅使眼压降低3.57%和9.09%。因此，从这些观察结果我们可以得出结论，对于对药物治疗反应不佳的开角型青光眼，该技术只是一种辅助方法。
