Herschler J, Davis E B
Arch Ophthalmol. 1980 Apr;98(4):684-7. doi: 10.1001/archopht.1980.01020030678006.
A modified goniotomy (trabeculodialysis) was performed on both eyes of a 33-year-old woman who had glaucoma secondary to sarcoid uveitis. One month after trabeculodialysis, a cataract extraction was performed on one eye and a histologic specimen was obtained from the area of the filtration angle that was previously incised. Successful control of intraocular pressure has been maintained in both eyes for 18 months following trabeculodialysis. By light and electron microscopic examination, there was a nonhealed incision between the anterior chamber and Schlemm's canal. Trabeculodialysis, it is concluded, works by providing direct communication between the anterior chamber and Schlemm's canal, and might be effective in all trabecular obstructive glaucoma of short duration before secondary changes occur in the outer drainage channels.
对一名患有结节病性葡萄膜炎继发性青光眼的33岁女性的双眼进行了改良前房角切开术（小梁切开术）。小梁切开术后一个月，对一只眼睛进行了白内障摘除术，并从先前切开的滤过角区域获取了组织学标本。小梁切开术后，双眼眼压成功控制了18个月。通过光镜和电镜检查，在前房和施莱姆管之间存在未愈合的切口。得出的结论是，小梁切开术通过在前房和施莱姆管之间建立直接连通起作用，并且可能对所有短期小梁阻塞性青光眼有效，前提是在外引流通道发生继发性改变之前。
