Playfair T J, Watson P G
Br J Ophthalmol. 1979 Jan;63(1):23-8. doi: 10.1136/bjo.63.1.23.
Patients presenting with either intermittent closed-angle glaucoma which gave to subacute congestive attacks or with chronic angle-closure glaucoma were followed up over 12 years. Peripheral iridectomy was performed as a primary procedure on these patients during this period. It was found to be a highly effective procedure in those patients without field loss at the time of presentation, but because of the figures presented here we would recommend that any patient presenting with angle closure and disc and field changes should have a trabeculectomy performed as a primary procedure. We found no way of predicting which patients would require further surgery from the history, initial intraocular pressure, or the gonioscopic findings. No patient in this series developed malignant glaucoma after trabeculectomy although it occurred in 2 eyes after peripheral iridectomy.
对患有间歇性闭角型青光眼（可引发亚急性充血性发作）或慢性闭角型青光眼的患者进行了12年的随访。在此期间，对这些患者施行周边虹膜切除术作为主要手术。结果发现，对于那些就诊时没有视野缺损的患者，该手术非常有效，但鉴于此处列出的数据，我们建议任何出现房角关闭以及视盘和视野改变的患者应将小梁切除术作为主要手术。我们无法根据病史、初始眼压或前房角镜检查结果预测哪些患者需要进一步手术。本系列中没有患者在小梁切除术后发生恶性青光眼，尽管在外周虹膜切除术后有2只眼发生了恶性青光眼。
