Trabeculectomy in aphakic eyes.
Trabeculectomy in aphakic eyes.
复制标题
无晶状体眼的小梁切除术。
DOI：
10.1016/s0161-6420(84)34196-3
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发表时间：
1984
期刊：
影响因子：
13.7
通讯作者：
Palmberg,PF
中科院分区：
文献类型：
--
作者：
Heuer,DK;Gressel,MG;Parrish2nd,RK;Anderson,DR;Hodapp,E;Palmberg,PF
本文回顾了1972年至1982年间在巴斯科姆-帕尔默眼科研究所施行的127例无晶状体眼的小梁切除术。45例患者被排除在数据分析之外：28例有混杂情况，如新生血管性青光眼；10例随访不到6个月；7例是在BPEI进行的6眼第二次或第三次小梁切除术。在剩余的82例(82只眼)小梁切除术中：32例(39%)被归类为成功(用药后眼压达到≤21毫米汞柱或≤25毫米汞柱未用药的眼)；8例(10%)被归类为合格失败(用药后眼压降至&>21毫米汞或未用药的眼<25毫米汞)；42例(51%)被归类为完全失败者(接受了进一步的青光眼手术，建议再做青光眼手术，或失去光感)。在年龄小于50岁的患者20只眼中，仅1只眼(5%)为成功，而在50岁及以上的62只眼中，31只眼(50%)为成功。
One hundred twenty-seven trabeculectomies performed on aphakic eyes at the Bascom Palmer Eye Institute (BPEI) between 1972 and 1982 were reviewed. Forty-five cases were excluded from data analysis: 28 in eyes with confounding conditions, such as neovascular glaucoma; ten with followup of less than six months; and seven that were the second or third trabeculectomy performed at the BPEI in six eyes. Of the remaining 82 trabeculectomies in 82 eyes: 32 (39%) were categorized as successes (eyes that achieved an intraocular pressure of ≤21 mmHg with medication or ≤25 mmHg without medication); eight (10%) were categorized as qualified failures (eyes that had an intraocular pressure of >21 mmHg despite medication or >25 mmHg without medication); and 42 (51%) were categorized as complete failures (eyes that underwent further glaucoma surgery, had further glaucoma surgery recommended, or lost light perception). In the 20 eyes of the patients younger than 50 years of age, only one (5%) was categorized as a success; while in the 62 eyes of the patients 50 years of age or older, 31 (50%) were categorized as successes.