Elder M J
St John Ophthalmic Hospital, Jerusalem, Israel.
Br J Ophthalmol. 1993 Jul;77(7):413-6. doi: 10.1136/bjo.77.7.413.
This study presents the results of all patients with congenital glaucoma who were managed at St John Ophthalmic Hospital, Jerusalem from 1981 to 1990. This involved 118 eyes, 174 surgical procedures, and 460 examinations under anaesthesia. All procedures showed decreasing success rates with time. However, trabeculectomy was clearly the most successful in the hands of general ophthalmologists. Careful, long term follow up with particular regard to both intraocular pressure and detection and treatment of amblyopia are emphasised.
本研究展示了1981年至1990年在耶路撒冷圣约翰眼科医院接受治疗的所有先天性青光眼患者的治疗结果。这涉及118只眼睛、174次外科手术以及460次麻醉下检查。所有手术的成功率均随时间下降。然而,小梁切除术在普通眼科医生手中显然是最成功的。强调要进行仔细的长期随访,尤其要关注眼压以及弱视的检测和治疗。