Allen R C, Bellows A R, Hutchinson B T, Murphy S D
Ophthalmology. 1982 Oct;89(10):1181-7. doi: 10.1016/s0161-6420(82)34672-2.
The disappointing visual acuity results following cyclocryotherapy for neovascular glaucoma have prompted us to consider filtration surgery as a reasonable alternative in the treatment of selected patients. All cases of surgically treated neovascular glaucoma were reviewed. There were 26 operations in 24 eyes with a follow-up ranging from six months to seven years and a mean of 22.8 months. Adequate pressure control was obtained in 16 of the 24 eyes (67%). In the eyes with successful control of intraocular pressure, vision was 20/400 or better in eight of the 16 eyes (50%). Four patients (17%) lost light perception. Approximately one half of the operations were trabeculectomies, and the others were posterior lip sclerectomies. There seemed to be no significant difference in the final intraocular pressure levels, number or degree of complications, or successes within the two subgroups. Panretinal photocoagulation, topical steroids, cycloplegics, and time for these measures to have their effect are important preoperative adjuncts to surgical treatment. We are encouraged by the long-term preservation of vision and control of intraocular pressure in many of these eyes.
睫状体冷凝术治疗新生血管性青光眼后视力结果令人失望，这促使我们考虑将滤过性手术作为部分患者治疗的合理替代方案。我们回顾了所有接受手术治疗的新生血管性青光眼病例。24只眼共进行了26次手术，随访时间为6个月至7年，平均22.8个月。24只眼中有16只（67%）眼压得到了有效控制。在眼压得到成功控制的眼中，16只眼中有8只（50%）视力达到20/400或更好。4例患者（17%）失去光感。约一半的手术为小梁切除术，其余为后唇巩膜切除术。两个亚组在最终眼压水平、并发症数量或程度以及成功率方面似乎没有显著差异。全视网膜光凝、局部应用类固醇、睫状肌麻痹剂以及这些措施起效的时间是手术治疗重要的术前辅助手段。这些眼中许多眼视力的长期保留和眼压的控制让我们备受鼓舞。
