Gloor B, Niederer W, Daicker B
Klin Monbl Augenheilkd. 1977 Feb;170(2):241-8.
In this teaching-course special emphasis is given on surgical techniques and postoperative care of trabeculectomy. The follow-up of 114 eyes of 103 patients is reported. High tension in the early postoperative phase allowed no prediction of the later results. After 3 months 11%, and after one year 39% of the operated eyes with simple glaucoma had a tension higher than 22 mm Hg, even if drugs were given. Different sites of the excision in regard to the trabecular meshwork and Schlemm's canal gave no statistically different results. The filtering blebs have the tendency to develop in two directions, either scarring or becoming cystic. The cystic filtering blebs give better functional results. The development of the filtering bleb was inversely proportional to the height of the tension but went parallel to the facility of outflow. The visual acuity diminished in 35%, mostly due to cataract-formation and improved in 3%. Different complications happened in 6%. The authors consider the trabeculectomy to be the operation of choice for almost all forms of glaucoma.
在本教学课程中，特别强调小梁切除术的手术技术和术后护理。报告了103例患者114只眼的随访情况。术后早期的高眼压无法预测后期结果。3个月后，单纯青光眼手术眼有11%眼压高于22 mmHg，1年后为39%，即便使用了药物。小梁网和施莱姆管不同的切除部位在统计学上并无差异。滤过泡有两种发展趋势，要么瘢痕化，要么形成囊肿。囊性滤过泡功能效果更好。滤过泡的发展与眼压高度成反比，但与房水流畅系数平行。35%的患者视力下降，主要原因是白内障形成，3%的患者视力改善。6%出现了不同的并发症。作者认为小梁切除术几乎是所有类型青光眼的首选手术。
