Dannheim R, Hetzinger A
Klin Monbl Augenheilkd. 1978 Oct;173(4):542-9.
In 64 eyes the combined procedure (group I) and in 67 aphacic eyes a trabeculotomy (group II) was performed. There were different types of glaucoma. Re-examinations wer done 6 months and 1--10 years postoperatively. No definite differences of operative or postoperative complications existed between the two groups. In eyes suffering from primary open angle glaucoma intraocular pressure was controlled in 65--91% in both groups. In group I visual acuity was slightly better. On the other hand in these eyes more often a deterioration of the visual field was observed inspite of i. o. pressure not exceeding 21 mm Hg with a single exception. In group II further glaucoma surgery was necessary in more eyes than in group I.
对64只眼睛进行了联合手术(第一组),对67只无晶状体眼进行了小梁切开术(第二组)。存在不同类型的青光眼。术后6个月及1至10年进行了复查。两组在手术或术后并发症方面没有明显差异。在原发性开角型青光眼患者的眼中,两组的眼压控制率均为65%至91%。第一组的视力稍好。另一方面,在这些眼中,尽管眼压不超过21毫米汞柱(仅有一例例外),但仍更常观察到视野恶化。与第一组相比,第二组中更多的眼睛需要进一步的青光眼手术。