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原发性急性闭角型青光眼虹膜切除术的长期效果

The long-term effects of iridectomy for primary acute angle-closure glaucoma.

作者信息

Krupin T, Mitchell K B, Johnson M F, Becker B

出版信息

Am J Ophthalmol. 1978 Oct;86(4):506-9. doi: 10.1016/0002-9394(78)90297-0.

DOI:10.1016/0002-9394(78)90297-0
PMID:707595
Abstract

Forty-nine eyes were treated with iridectomy for primary acute angle-closure glaucoma. Forty asymptomatic, normotensive fellow eyes were similarly treated. The duration of follow-up after surgery was 52.3 +/- 3.6 months. Thirty-seven (76%) of the eyes with acute attacks were cured by iridectomy alone and required no medical therapy. Twelve eyes (24%) developed increased intraocular pressure following iridectomy, but only one eye (2%) required filtering surgery. Eighty-eight percent of the asymptomatic, normotensive fellow eyes required no subsequent therapy, and none developed visual field defects. Visual acuity was unchanged in 22 of 49 (45%) of the acutely involved eyes and decreased more than six lines in 11 (22%) eyes. In the 40 fellow eyes, visual acuity was unchanged in 63% and decreased more than six lines in only one (2%) eye.

摘要

49只眼睛因原发性急性闭角型青光眼接受了虹膜切除术治疗。40只无症状、血压正常的对侧眼也接受了同样的治疗。术后随访时间为52.3±3.6个月。37只(76%)急性发作的眼睛仅通过虹膜切除术就治愈了,无需药物治疗。12只眼睛(24%)在虹膜切除术后眼压升高,但只有1只眼睛(2%)需要进行滤过手术。88%的无症状、血压正常的对侧眼无需后续治疗,且无一例出现视野缺损。49只急性发病眼中有22只(45%)视力无变化,11只眼睛(22%)视力下降超过6行。在40只对侧眼中,63%视力无变化,只有1只眼睛(2%)视力下降超过6行。

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1
The long-term effects of iridectomy for primary acute angle-closure glaucoma.原发性急性闭角型青光眼虹膜切除术的长期效果
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Diurnal intraocular pressure changes in eyes affected with acute primary angle closure and fellow eyes after laser peripheral iridotomy.急性原发性闭角型青光眼患眼及激光周边虹膜切开术后对侧眼的昼夜眼压变化
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Eye (Lond). 2011 Aug;25(8):971-80. doi: 10.1038/eye.2011.128. Epub 2011 Jun 3.
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Natural history of glaucoma.青光眼的自然史。
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Long-term therapeutic outcome of acute primary angle closure in Japanese.日本急性原发性闭角型青光眼的长期治疗结果
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The fellow eye.对侧眼
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