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愈合对原发性开角型青光眼小梁切开术长期效果的影响(作者译)

[The influence of healing on the long-term effect of trabeculotomy in primary open angle glaucoma (author's transl)].

作者信息

Dannheim R

出版信息

Klin Monbl Augenheilkd. 1978 Jan;172(1):27-38.

PMID:628180
Abstract

83 eyes underwent a re-examination 3-7 years after trabeculotomy. By surgery alone the diurnal curve in 58 out of 74 eyes (78 percent) was regulated. In the majority of the other eyes additional medication controlled the i.o. pressure. There was no secondary cataract or other late complication. In 5 eyes there was a moderate deterioration of glaucomatous field defects without a decrease of visual acuity. The average i.o. pressure increased 2 mm Hg during the first 6 months postop., later on it was constant. The scarring processes in the chamber angle known from experimental surgery seemed to come to an end usually 6 months postoperatively. To judge the final result of trabeculotomy a postoperative follow-up of 6 months is necessary.

摘要

83只眼睛在小梁切开术后3至7年接受了复查。仅通过手术,74只眼中的58只(78%)的昼夜眼压曲线得到了调节。在大多数其他眼中,额外的药物治疗控制了眼压。没有出现继发性白内障或其他晚期并发症。5只眼中青光眼视野缺损有中度恶化,但视力没有下降。术后前6个月眼压平均升高2毫米汞柱,之后保持稳定。实验性手术中已知的房角瘢痕形成过程通常在术后6个月结束。要判断小梁切开术的最终结果,术后6个月的随访是必要的。

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