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正常眼压性青光眼的手术治疗

Surgery for normal tension glaucoma.

作者信息

Hitchings R A, Wu J, Poinoosawmy D, McNaught A

机构信息

Moorfields Eye Hospital, London.

出版信息

Br J Ophthalmol. 1995 May;79(5):402-6. doi: 10.1136/bjo.79.5.402.

Abstract

The long term follow up of surgery in normal tension glaucoma is presented. One eye of 18 patients with bilateral progressive disease underwent fistulising surgery. Over follow up periods ranging from 2 to 7 years (50% > or = 5 years) the operated eye showed on average a 30% reduction in intraocular pressure (IOP). This was associated with a marked difference in the rate and number of retinal locations showing a progressive decline in retinal function, suggesting some protective function for lowering IOP in patients with normal tension glaucoma.

摘要

本文介绍了正常眼压性青光眼手术的长期随访情况。18例双侧进行性病变患者的一只眼睛接受了造瘘手术。在2至7年的随访期内(50% ≥ 5年),手术眼的眼压平均降低了30%。这与视网膜功能呈进行性下降的视网膜部位的发生率和数量存在显著差异有关,提示降低眼压对正常眼压性青光眼患者具有一定的保护作用。

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本文引用的文献

1
The results of surgery for low-tension glaucoma.低眼压性青光眼的手术治疗结果。
Am J Ophthalmol. 1953 Aug;36(8):1067-70. doi: 10.1016/0002-9394(53)91887-x.
3
The rate of progression of scotomas in glaucoma.青光眼视野缺损的进展速度。
Am J Ophthalmol. 1986 Jan 15;101(1):1-6. doi: 10.1016/0002-9394(86)90457-5.
7
Results of a filtering procedure in low tension glaucoma.
Int Ophthalmol. 1989 Jan;13(1-2):131-8. doi: 10.1007/BF02028653.
10
Diurnal variation of intraocular pressure of normal-tension glaucoma. Influence of sleep and arousal.
Ophthalmology. 1991 Mar;98(3):296-300. doi: 10.1016/s0161-6420(91)32297-8.

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