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[虹膜嵌顿术的临床经验]

[Clinical experience with iridencleisis].

作者信息

Holland G, tho Seeth T

出版信息

Klin Monbl Augenheilkd. 1983 Apr;182(4):281-5. doi: 10.1055/s-2008-1054765.

DOI:10.1055/s-2008-1054765
PMID:6865250
Abstract

The authors report on 120 patients who underwent iridencleisis (155 eyes). Of these, 36 had open-angle glaucoma, 26 congestive glaucoma and 54 were suffering from acute glaucoma of long standing. Two patients had exfoliation syndrome and two, secondary glaucoma. The kind of filtration bleb, postoperative complications such as flat anterior chamber or loss of anterior chamber, hyphema, choroidal detachment and postoperative and final regulation of IOP are discussed in detail. Since 1975, the authors have preferred Fronimopoulos' method of goniotrepanation to iridencleisis for treating open-angle and congestive glaucoma. However, in cases of protracted, uninterrupted acute glaucoma iridencleisis can still be recommended as a dependable procedure.

摘要

作者报告了120例接受虹膜嵌顿术的患者(155只眼)。其中,36例患有开角型青光眼,26例患有充血性青光眼,54例患有长期急性青光眼。2例患有剥脱综合征,2例患有继发性青光眼。详细讨论了滤过泡的类型、术后并发症,如浅前房或无前房、前房积血、脉络膜脱离以及术后眼压的调节和最终眼压情况。自1975年以来,作者在治疗开角型和充血性青光眼时,更倾向于使用弗罗尼莫普洛斯的房角切开术而非虹膜嵌顿术。然而,对于迁延不愈的急性青光眼病例,虹膜嵌顿术仍可作为一种可靠的手术方法推荐。

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