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[马达加斯加的小梁切除术。三年回顾性研究]

[[Trabeculectomy in Madagascar. Retrospective study over 3 years].

作者信息

Bernardin P, Rabenantoandro C, Auzemery A

出版信息

Rev Int Trach Pathol Ocul Trop Subtrop Sante Publique. 1994;71:125-37.

PMID:8724809
Abstract

This study reports the results of the evolution of ocular pressure, glaucoma excavation and complications after trabeculectomy particularly cataracts observed in 47 cases of chronic glaucoma. Our chronic glaucomas are frequent in male with an average of age of 60,5 years. Normalisation of ocular tension has been obtained in 87.23% of cases. However in 10.53% of cases, an adjuvant medical treatment has been necessary. Ocular pressure figure raised up progressively after trabeculectomy to reach some limit from which it remains stable. The best ocular pressure control has been observed first in glaucoma with opened angle, then in post traumatic glaucoma. Visual acuteness was improved in 20.27% of cases. Trabeculectomy has involved a relief, a disparition of pain in all the cases. The main late complication observed is opacification of eye lens in patients aged more than 70 years old.

摘要

本研究报告了47例慢性青光眼患者小梁切除术后眼压变化、青光眼性凹陷及并发症(尤其是白内障)的观察结果。我们的慢性青光眼在男性中较为常见,平均年龄为60.5岁。87.23%的病例眼压恢复正常。然而,10.53%的病例需要辅助药物治疗。小梁切除术后眼压逐渐升高,达到一定限度后保持稳定。开角型青光眼眼压控制最佳,其次是外伤性青光眼。20.27%的病例视力得到改善。小梁切除术在所有病例中都缓解了疼痛并消除了疼痛。观察到的主要晚期并发症是70岁以上患者的晶状体混浊。

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