Chiseliţă D, Vancea P, Filiman O, Brănişteanu D, Bredetean M, Poiata I
Clinica Oftalmologie laşi.
Oftalmologia. 1995 Jul-Sep;39(3):225-34.
The investigation of 33 patients with late postcontusional glaucoma subjected to surgery and followed up for 25 +/- 8.24 months has revealed: the interval accident-surgery is shorter in the close-angle combined forms; the essential mechanisms responsible for glaucoma occurrence are: the alteration of trabecular meshwork (for open-angle glaucoma) and pupillary block (for close angle glaucoma); simple cases required antiglaucoma surgery (trabeculectomy, peripheral iridectomy) and the mixed ones required combined (trabeculectomy, lens extraction, lens implant) or sequential surgeries (antiglaucoma surgery, vitrectomy etc); the glaucomatous process was stopped in 83.4% of the open-angle glaucoma cases and progressed in 23.5% of the close-angle glaucoma cases; the functional improvements post antiglaucoma surgery combined with removal of opacities are lessened by the higher frequency of severe per- and post-operative complication.
对33例接受手术并随访25±8.24个月的挫伤性晚期青光眼患者的调查显示：在闭角型合并形式中，事故至手术的间隔时间较短；导致青光眼发生的主要机制是：小梁网改变（开角型青光眼）和瞳孔阻滞（闭角型青光眼）；单纯病例需要抗青光眼手术（小梁切除术、周边虹膜切除术），混合型病例需要联合手术（小梁切除术、晶状体摘除术、晶状体植入术）或序贯手术（抗青光眼手术、玻璃体切除术等）；83.4%的开角型青光眼病例的青光眼进程得到控制，23.5%的闭角型青光眼病例病情进展；抗青光眼手术联合清除混浊后功能改善因严重围手术期和术后并发症的较高发生率而降低。
