Hornová J, Kuchynka P, Fucík M
Ocní klinika FNKV a 3. LF UK, Praha.
Cesk Oftalmol. 1994 Jun;50(3):153-9.
The authors followed the collection of 77 eyes with glaucoma (54 eyes with POAG, 16 eyes with PACG and 7 eyes with CG) after ECCE or phacoemulsification with implantation of IOL. The patients were operated in 1990-1991 at the Ophthalmological Clinic FNKV and 3rd Medical Faculty in Prague. The authors evaluated IOP, therapy and visual acuity 6 weeks and 6 months after operation. After 6 months period IOP was decreased in average about 3 mmHg; in POAG the reduction was 1.9 mmHg and in PACG the reduction was 4.7 mmHg. In this time the authors also registered decreasing antiglaucomatous therapy at 38 eyes (i.e. 49.3% operated eyes). The reducing therapy represents 50% eyes with POAG and 69% eyes with PACG. The visual acuity is in 70% 6/6-6/12. Patients with PACG have more expressive postoperative effect. The authors draw the attention to late diagnosis CG, after successful operation the visual acuity is reduced on account of advanced changes of the optic disc.
作者对77只青光眼患眼（54只原发性开角型青光眼、16只原发性闭角型青光眼和7只先天性青光眼）在白内障囊外摘除术（ECCE）或超声乳化白内障吸除联合人工晶状体植入术后进行了随访。这些患者于1990 - 1991年在布拉格的FNKV眼科诊所和第三医学院接受手术。作者评估了术后6周和6个月时的眼压、治疗情况及视力。6个月后眼压平均下降约3 mmHg；原发性开角型青光眼眼压下降1.9 mmHg，原发性闭角型青光眼眼压下降4.7 mmHg。此时作者还记录到38只眼（即49.3%的手术眼）抗青光眼治疗减少。治疗减少的情况在原发性开角型青光眼患者中占50%，在原发性闭角型青光眼患者中占69%。70%患者的视力为6/6 - 6/12。原发性闭角型青光眼患者术后效果更明显。作者提醒注意先天性青光眼的晚期诊断，成功手术后视力因视盘的晚期改变而下降。
