Singh G, Kaur J, Dogra A
Dept. of Ophthalmology, Gandhi Medical College, Bhopal, India.
Indian J Ophthalmol. 1993 Jul;41(2):78-80.
Filtering surgery has been found to be less successful in certain types of glaucoma. These include young patients, those with pigmentary glaucoma, secondary glaucoma, angle recession glaucoma, aphakic or pseudophakic glaucoma, and patients requiring reoperation. This study describes the authors' attempt to evaluate the effectiveness of conventional trabeculectomy with intraoperative application of mitomycin C in such patients. Ten eyes of 8 patients were evaluated in this study. Of these cases 4 eyes (2 bilateral cases) were from the primary juvenile open angle group; 2 eyes each had pseudophakic glaucoma and previous anti-glaucoma surgery which had failed; one eye had aphakic glaucoma and the last suffered from angle recession glaucoma. The intraocular pressure was successfully controlled in all the ten eyes. The preoperative IOP ranged from 28 to 50 mm Hg and the postoperative IOP ranged from 7 to 16 mm Hg. The postoperative complications were minimal.
已发现滤过性手术在某些类型的青光眼治疗中效果欠佳。这些类型包括年轻患者、色素性青光眼患者、继发性青光眼患者、房角后退性青光眼患者、无晶状体或人工晶状体性青光眼患者以及需要再次手术的患者。本研究描述了作者尝试评估术中应用丝裂霉素C的传统小梁切除术在此类患者中的有效性。本研究评估了8例患者的10只眼。在这些病例中，4只眼（2例双侧病例）来自原发性青少年开角型青光眼组；2只眼患有人工晶状体性青光眼且既往抗青光眼手术失败；1只眼患有无晶状体性青光眼，最后1只眼患有房角后退性青光眼。所有10只眼的眼压均得到成功控制。术前眼压范围为28至50毫米汞柱，术后眼压范围为7至16毫米汞柱。术后并发症极少。
