Thommy C P, Bhar I S
Br J Ophthalmol. 1979 Sep;63(9):636-42. doi: 10.1136/bjo.63.9.636.
Filtering procedures for glaucoma in Africans are considered to be failures owing to their propensity for increased fibrosis. However, favourable results from trabeculectomy in African patients with glaucoma are reported. Most of these are from such modifications of technique as non-suturing of flaps, sclerectomy, posterior lip cautery, or administration of high doses of steroids. In this study 95.4% success with a virtual absence of complications is reported from a standard technique of trabeculectomy and no steroids.
由于非洲人青光眼的滤过手术容易出现纤维化增加的情况,所以这些手术被认为是失败的。然而,有报道称非洲青光眼患者小梁切除术取得了良好效果。其中大多数是通过诸如不缝合瓣膜、巩膜切除术、后唇烧灼或高剂量类固醇给药等技术改良实现的。在本研究中,采用标准小梁切除术且不使用类固醇的情况下,报告成功率为95.4%,且几乎没有并发症。