Campbell D G, Vela A
Ophthalmology. 1984 Sep;91(9):1052-60. doi: 10.1016/s0161-6420(84)34195-1.
A new and successful technique for goniosynechialysis is described. The essentials of the technique include: (1) use of the chamber deepening procedure to provide a wide, safe entrance to the angle; (2) use of sodium hyaluronate to hold the deepened configuration and to stop and localize bleeding, thus maintaining visibility; (3) use of an irrigating cyclodialysis spatula to hold the deepened chamber, to stop bleeding and to perform the lysis; and (4) direct visualization of the angle. Four cases with severe synechial angle closure of one year's duration or less were cured. An additional case of longer duration was significantly improved. The procedure should be considered for those patients who have developed significant synechial angle closure and high pressure, and in whom the synechiae have not been present for a prolonged period of time.
本文描述了一种新型且成功的房角粘连分离术。该技术要点包括：（1）采用前房加深术，为房角提供宽敞、安全的入口；（2）使用透明质酸钠保持加深的前房形态，止血并定位出血部位，从而保持视野清晰；（3）使用灌洗式睫状体分离铲保持加深的前房，止血并进行粘连松解；（4）直接观察房角。4例房角严重粘连闭合1年及以内的患者治愈。1例病程较长的患者病情显著改善。对于那些已出现明显房角粘连闭合且眼压升高、粘连时间不长的患者，应考虑采用该手术。
