原发性小梁切除术治疗婴幼儿青光眼的长期随访
Long-term follow up of primary trabeculectomy for infantile glaucoma.
作者信息
Fulcher T, Chan J, Lanigan B, Bowell R, O'Keefe M
机构信息
Department of Ophthalmology, Children's Hospital, Dublin, Ireland.
出版信息
Br J Ophthalmol. 1996 Jun;80(6):499-502. doi: 10.1136/bjo.80.6.499.
Abstract
BACKGROUND
The treatment for infantile glaucoma is surgical. Treatment options include goniotomy, trabeculotomy, combined trabeculotomy-trabeculectomy, and trabeculectomy.
METHODS
Patients who had a follow up of 5 years or longer after primary trabeculectomy were examined to determine the long term stability in infantile glaucoma.
RESULTS
In eyes with primary infantile glaucoma 92.3% achieved control of their glaucoma with a single trabeculectomy; 100% achieved control with two trabeculectomies; 85.7% of eyes with secondary infantile glaucoma achieved control with a single trabeculectomy. There were no serious complications experienced in either group.
CONCLUSION
Primary trabeculectomy is a safe and successful operation for infantile glaucoma.
摘要
背景
婴儿型青光眼的治疗方法是手术。治疗选择包括前房角切开术、小梁切开术、小梁切开术-小梁切除术联合手术以及小梁切除术。
方法
对接受原发性小梁切除术后随访5年或更长时间的患者进行检查，以确定婴儿型青光眼的长期稳定性。
结果
在原发性婴儿型青光眼患者中，92.3%的患者通过单次小梁切除术实现了青光眼的控制；100%的患者通过两次小梁切除术实现了控制；85.7%的继发性婴儿型青光眼患者通过单次小梁切除术实现了控制。两组均未出现严重并发症。
结论
原发性小梁切除术是治疗婴儿型青光眼的一种安全且成功的手术。
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