Fellman R L, Starita R J, Spaeth G L, Poryzees E M
Ophthalmic Surg. 1984 Mar;15(3):195-8.
Twenty-five patients (30 eyes) with primary open-angle glaucoma post-trabeculectomy with failing blebs and progressive visual field loss were treated with argon laser trabeculoplasty. The average time from filtration surgery to trabeculoplasty was 25.5 +/- 12.0 months. Following trabeculoplasty the mean intraocular pressure dropped significantly from 20.0 +/- 3.7 to 17.2 +/- 4.3 (p less than .005) at a mean follow-up of 14.3 +/- 7.6 months. Sixty-seven percent of eyes had stabilization of visual function. Thirty-three percent were considered treatment failures secondary to progressive visual field loss, sustained rise in intraocular pressure, or further glaucoma surgery. Alteration of the trabecular meshwork resulting from trabeculectomy does not appear to have an adverse effect on laser trabeculoplasty.
25例（30只眼）小梁切除术后滤过泡失败且视野逐渐丧失的原发性开角型青光眼患者接受了氩激光小梁成形术治疗。从滤过手术到小梁成形术的平均时间为25.5±12.0个月。小梁成形术后，在平均随访14.3±7.6个月时，平均眼压从20.0±3.7显著降至17.2±4.3（p<0.005）。67%的患眼视功能稳定。33%的患眼因视野逐渐丧失、眼压持续升高或再次进行青光眼手术而被视为治疗失败。小梁切除术导致的小梁网改变似乎对激光小梁成形术没有不利影响。
