Surgical therapy of chronic glaucoma in aphakia and pseudophakia.
Surgical therapy of chronic glaucoma in aphakia and pseudophakia.
复制标题
无晶状体眼和假晶状体眼慢性青光眼的手术治疗。
DOI：
10.1016/s0161-6420(88)33027-7
复制
发表时间：
1988
期刊：
影响因子：
13.7
通讯作者：
Steven Marks
中科院分区：
文献类型：
--
作者：
Ronald L. Gross;Robert M. Feldman;G. Spaeth;W. Steinmann;Detlev Spiegel;L. Jay Katz;Richard P. Wilson;Rohit Varma;M. Moster;Steven Marks
大多数青光眼手术治疗无晶状眼或假晶状眼不太成功。作者回顾了1979年至1986年间91例无晶状体患者的连续初始青光眼手术，以确定成功的结果和并发症。成功的定义是眼压（IOP）比术前值至少低30%且小于21 mmHg， Snellen视力下降小于2线，并且没有进一步的手术干预。9个月时，成功率为：15例患者中有4例小梁切除术；睫状体透析，20例中3例；钕：YAG （Nd:YAG）循环光凝，8例1例；循环冷冻治疗，22例中9例；前房分流术（Schocket手术），6例中3例；氩激光小梁成形术，20例中有2例。严重的并发症包括11%的循环冷冻治疗中出现了球疱，20%的循环透析和14%的循环冷冻治疗中出现了严重的视力丧失。结果证实了手术治疗的困难。
Most glaucoma surgical procedures are less successful in aphakic or pseudophakic eyes. The authors reviewed 91 consecutive initial glaucoma procedures in aphakic patients from 1979 to 1986 to determine successful outcomes and complications. Success was defined as an intraocular pressure (IOP) of at least 30% below the preoperative value and less than 21 mmHg, less than 2 lines of Snellen acuity loss, and no further surgical intervention. At 9 months, success rates were: trabeculectomy, 4 of 15 patients; cyclodialysis, 3 of 20 patients; neodymium:YAG (Nd:YAG) cyclophotocoagulation, 1 of 8 patients; cyclocryotherapy, 9 of 22 patients; anterior chamber tube shunt (Schocket procedure), 3 of 6 patients; and argon laser trabeculoplasty, 2 of 20 patients. Severe complications included phthisis bulbi in 11 % of cyclocryotherapy and severe visual loss in 20% with cyclodialysis and 14% with cyclocryotherapy. Results confirm the difficulty of surgical therapy in these patients.
无晶状体眼的小梁切除术。
影响因子：
13.7
作者：
Heuer,DK;Gressel,MG;Parrish2nd,RK;Anderson,DR;Hodapp,E;Palmberg,PF
通讯作者：
Palmberg,PF