Béchetoille A, Deroche B, Jallet G, Cleirens S
J Fr Ophtalmol. 1979 Jun-Jul;2(6-7):405-14.
The authors propose to consider that the liberation of the ciliary body of Benedikt, combined or not with vitrectomy and/or with surgery of the exposed ciliary body and/or with reconstruction of the angle and/or with the treatment of secondary glaucomas with extensive goniosynechias. 30 eyes were operated according to these principles during a period of two years. They presented an angle closure glaucoma that was neglected, provoking a chronic state via the formation of a ring shaped goniosynechia (11 eyes), an aphakic secondary glaucoma (7 eyes), neo-vascular glaucoma (3 eyes), a malignant glaucoma (3 eyes), absolute glaucoma (4 eyes), or secondary glaucoma of diverse causes (2 eyes). A favourable result in the IOP control was obtained in 69% of the cases with only a minor number of complications (ciliary body hernia (5 eyes), cataract (2 eyes), choroid hematoma (1 eye). In the future, the number of undesirable results and complications should diminish as the knowledge of the principles that guide this new surgical approach of secondary glaucomas becomes better understood.
作者提议考虑对 Benedikt 睫状体进行松解，可联合或不联合玻璃体切除术、和/或暴露睫状体的手术、和/或房角重建术、和/或治疗伴有广泛虹膜周边前粘连的继发性青光眼。在两年时间里，按照这些原则对 30 只眼睛进行了手术。这些眼睛呈现出被忽视的闭角型青光眼，通过形成环形虹膜周边前粘连引发慢性状态（11 只眼）、无晶状体继发性青光眼（7 只眼）、新生血管性青光眼（3 只眼）、恶性青光眼（3 只眼）、绝对期青光眼（4 只眼）或多种病因的继发性青光眼（2 只眼）。69%的病例眼压控制取得良好效果，仅有少数并发症（睫状体疝（5 只眼）、白内障（2 只眼）、脉络膜血肿（1 只眼））。未来，随着对指导这种继发性青光眼新手术方法的原则的了解更加深入，不良结果和并发症的数量应会减少。
