Heuer D K, Gressel M G, Parrish R K, Anderson D R, Hodapp E, Palmberg P F
Ophthalmology. 1984 Sep;91(9):1045-51. doi: 10.1016/s0161-6420(84)34196-3.
One hundred twenty-seven trabeculectomies performed on aphakic eyes at the Bascom Palmer Eye Institute (BPEI) between 1972 and 1982 were reviewed. Forty-five cases were excluded from data analysis: 28 in eyes with confounding conditions, such as neovascular glaucoma; ten with follow-up of less than six months; and seven that were the second or third trabeculectomy performed at the BPEI in six eyes. Of the remaining 82 trabeculectomies in 82 eyes: 32 (39%) were categorized as successes (eyes that achieved an intraocular pressure of less than or equal to 21 mmHg with medication or less than or equal to 25 mmHg without medication); eight (10%) were categorized as qualified failures (eyes that had an intraocular pressure of greater than 21 mmHg despite medication or greater than 25 mmHg without medication); and 42 (51%) were categorized as complete failures (eyes that underwent further glaucoma surgery, had further glaucoma surgery recommended, or lost light perception). In the 20 eyes of the patients younger than 50 years of age, only one (5%) was categorized as a success; while in the 62 eyes of the patients 50 years of age or older, 31 (50%) were categorized as successes.
回顾了1972年至1982年间在巴斯科姆·帕尔默眼科研究所（BPEI）对无晶状体眼进行的127例小梁切除术。45例被排除在数据分析之外：28例存在如新生血管性青光眼等混杂情况的眼；10例随访时间少于6个月；7例是在6只眼中进行的第二次或第三次小梁切除术。在其余82只眼中的82例小梁切除术中：32例（39%）被归类为成功（使用药物时眼压≤21mmHg或未使用药物时眼压≤25mmHg的眼）；8例（10%）被归类为合格失败（尽管使用药物眼压仍＞21mmHg或未使用药物眼压仍＞25mmHg的眼）；42例（51%）被归类为完全失败（接受进一步青光眼手术、被建议进行进一步青光眼手术或失去光感的眼）。在年龄小于50岁患者的20只眼中，仅1例（5%）被归类为成功；而在年龄50岁及以上患者的62只眼中，31例（50%）被归类为成功。
