Lanzl I M, Moster M R, Hodges D D
Glaucoma Service, Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Ophthalmic Surg Lasers. 1997 Sep;28(9):780-2.
The goal of glaucoma filtering surgery is to achieve adequate control of intraocular pressure (IOP). This prospective study evaluates the authors' accuracy in predicting IOP for the first postoperative day (POD 1) through digital palpation of the globe and evaluation of the achieved leakage at the end of trabeculectomy. Fifty patients underwent trabeculectomy with or without the use of an antimetabolite. At the conclusion of the procedure, an IOP prediction for POD 1 was given by the surgeon. The recorded IOP readings on POD 1 were compared with this prediction. The results were evaluated by linear regression analysis. The IOP predictions were within +/- 3 mm Hg of the forecasted value for 31 patients (62%), within +/- 6 mm Hg for 44 patients (88%) and outside of +/- 6 mm Hg for 6 patients (12%). Short-term postoperative IOP control is reasonably predictable and may be adjusted for individual care.
青光眼滤过手术的目标是实现对眼压（IOP）的充分控制。这项前瞻性研究通过对眼球进行数字触诊以及评估小梁切除术后的滤过情况，来评估作者预测术后第一天（POD 1）眼压的准确性。50例患者接受了小梁切除术，部分患者使用了抗代谢药物。手术结束时，外科医生对POD 1的眼压进行预测。将POD 1记录的眼压读数与该预测值进行比较。结果通过线性回归分析进行评估。31例患者（62%）的眼压预测值与预测值相差在±3 mmHg以内，44例患者（88%）相差在±6 mmHg以内，6例患者（12%）相差超过±6 mmHg。术后短期眼压控制具有合理的可预测性，可针对个体情况进行调整。
