Schimek R A, Williamson W R
Ophthalmic Surg. 1977 Feb;8(1):35-9.
Trabeculectomy with cautery was performed on 31 eyes of of 25 glaucoma patients uncontrolled on maximal medical therapy. The procedure was designed to combine the effectiveness of Scheie's thermal sclerostomy with the low incidence of complications associated with trabeculectomy. There was an 81 percent success rate overall and an 83 percent success rate in blacks. Average follow-up was 25 months. The average preoperative pressure was 29 mm Hg and the average postoperative pressure was 11 mm Hg. Immediate postoperative complications were minimal. The most serious long-term problem was the acceleration of lenticular changes. The procedure is technically simple with a majority of cases being performed by house staff at a relatively early stage of training. It is believed that trabeculectomy with cautery is indicated in blacks, in far-advanced glaucoma cases, and in patients in whom a conventional trabeculectomy has failed.
对25例接受最大药物治疗仍无法控制病情的青光眼患者的31只眼睛实施了烧灼小梁切除术。该手术旨在将谢伊热巩膜造口术的有效性与小梁切除术相关并发症的低发生率相结合。总体成功率为81%，黑人患者的成功率为83%。平均随访时间为25个月。术前平均眼压为29 mmHg，术后平均眼压为11 mmHg。术后即刻并发症极少。最严重的长期问题是晶状体变化加速。该手术在技术上很简单，大多数病例由住院医生在相对早期的培训阶段完成。据信，烧灼小梁切除术适用于黑人患者、晚期青光眼病例以及传统小梁切除术失败的患者。
