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白内障/青光眼联合手术的结果(作者译)

[Results of combined cataract/glaucoma operations (author's transl)].

作者信息

Robert Y, Gloor B

出版信息

Klin Monbl Augenheilkd. 1982 May;180(5):454-7. doi: 10.1055/s-2008-1055119.

Abstract

In general the combined cataract/glaucoma operation is a good procedure for treating cataract and glaucoma simultaneously. The operation was performed in 157 eyes between 1976 and 1980. The mean IOP remained constant after surgery for a follow-up period of over three years on average. The review covered 136 eyes, of which 103 needed no therapy initially after the operation; now only 78 have good IOP without drug therapy. It seems that some time after the operation glaucoma therapy is needed again. The question arises whether it is better to perform a combined operation or to perform trabeculectomy first and cataract extraction later, or even if it is better to perform cataract extraction alone and continue with drug therapy for the glaucoma.

摘要

一般来说,白内障/青光眼联合手术是一种同时治疗白内障和青光眼的良好术式。1976年至1980年间,该手术在157只眼中实施。平均随访三年多,术后平均眼压保持稳定。此次回顾涵盖136只眼,其中103只眼术后最初无需治疗;现在只有78只眼在未使用药物治疗的情况下眼压控制良好。似乎术后一段时间后又需要进行青光眼治疗。问题在于,是进行联合手术更好,还是先进行小梁切除术,之后再进行白内障摘除术更好,甚至单独进行白内障摘除术并继续对青光眼进行药物治疗是否更好。

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