Peng D W, Lü L, Tian X
Zhongshan Ophthalmic Centre, Sun Yat-sen University of Medical Sciences, Guangzhou.
Zhonghua Yan Ke Za Zhi. 1994 Jul;30(4):249-52.
Trabeculectomies with tightly sutured scleral flap was performed on 49 eyes of 45 patients with angle closure or open angle glaucomas, the experimental group, of which 41 eyes underwent laser suture lysis subsequently. After a mean period of follow-up 14.7 months (12-36 months), the average intraocular pressure was decreased from pre-operative 5.93 kPa (44.5 mmHg) to post-operative 1.96 kPa (14.7mmHg). The experimental group of patients was compared with the control group, 41 eyes of 39 cases at the same period randomly undergoing trabeculectomy without laser suture lysis. The control rate of intraocular pressure is higher (89.8%:73.2%) and the incidence of ocular complications (such as, shallow anterior chamber, choroid detachment, hyphema, lens opacity) is significantly lower in the former group, showing that trabeculectomy with following laser suture lysis is a safe and effective anti-glaucoma surgery. The advantages, points for attention and experiences of laser suture lysis have been introduced in the paper.
对45例闭角型或开角型青光眼患者的49只眼进行巩膜瓣紧密缝合小梁切除术，作为实验组，其中41只眼随后接受了激光缝线松解术。平均随访14.7个月（12 - 36个月）后，平均眼压从术前的5.93 kPa（44.5 mmHg）降至术后的1.96 kPa（14.7 mmHg）。将实验组患者与同期随机接受未行激光缝线松解术小梁切除术的39例患者的41只眼组成的对照组进行比较。前一组眼压控制率更高（89.8%:73.2%），眼部并发症（如浅前房、脉络膜脱离、前房积血、晶状体混浊）发生率显著更低，表明小梁切除术联合激光缝线松解术是一种安全有效的抗青光眼手术。本文介绍了激光缝线松解术的优点、注意事项及经验。
