Freedman J, Shen E, Ahrens M
Br J Ophthalmol. 1976 Aug;60(8):573-4. doi: 10.1136/bjo.60.8.573.
Trabeculectomy was performed on 51 Black patients with uncontrolled glaucoma. The operation was successful in 80 per cent of cases followed-up for an average of 18 months. Success seemed to be independent of whether the superficial scleral flap was or was not sutured, although subconjunctival drainage, as indicated by the appearance of a bleb, seemed to be the predominant mechanism whereby the procedure functioned. The success rate in this series is the highest reported for glaucoma filtering procedures in Black glaucoma populations. Trabeculectomy may now be the operation of choice in uncontrolled glaucoma occurring in Black patients.
对51例未经控制的青光眼黑人患者实施了小梁切除术。在平均随访18个月的病例中,80%的手术获得成功。手术成功似乎与浅层巩膜瓣是否缝合无关,尽管从滤过泡的出现来看,结膜下引流似乎是该手术起作用的主要机制。该系列研究中的成功率是黑人青光眼患者青光眼滤过手术报道中最高的。小梁切除术现在可能是黑人患者未经控制的青光眼的首选手术。