Kidd M N, O'Connor M
Br J Ophthalmol. 1985 Nov;69(11):827-31. doi: 10.1136/bjo.69.11.827.
We report a retrospective study of 60 eyes from 46 patients all with primary open-angle glaucoma who had a trabeculectomy to one or both eyes. A minimum five-year follow-up was available. The percentage pressure reductions at the one and five years postoperatively is shown. In a subgroup of 50 eyes which had Goldman fields documented at least six-monthly for a minimum of five years postoperatively there was a continuation of glaucomatous field loss in 18% of eyes despite postoperative pressures in the normal range. The five-year percentage pressure reduction and the minimum percentage pressure reductions were statistically significant in a comparison between the field loss and no field loss groups. However, in the individual case there seemed no way of predicting which eyes would develop postoperative field loss, and regular postoperative perimetric assessment was found to be essential whatever the pressure measurements recorded.
我们报告了一项对46例原发性开角型青光眼患者的60只眼睛进行的回顾性研究，这些患者的一只或两只眼睛均接受了小梁切除术。有至少五年的随访数据。显示了术后一年和五年时的眼压降低百分比。在一个亚组中，50只眼睛在术后至少五年内每六个月记录一次Goldmann视野，尽管术后眼压在正常范围内，但仍有18%的眼睛出现青光眼性视野缺损。视野缺损组和无视野缺损组之间，五年眼压降低百分比和最低眼压降低百分比具有统计学意义。然而，在个别病例中，似乎无法预测哪些眼睛会出现术后视野缺损，并且无论记录的眼压测量值如何，术后定期进行视野评估都被认为是必不可少的。
