一眼小樑切除術與另一眼周邊虹膜切除術之比較

Simultaneous Trabeculectomy on One Eye Peripheral Iridectomy on the Other Eye

傳堯安(Yao-An Fu) ； 余兆一(Chao-Yi Yu)

《中華民國眼科醫學會會刊》 22卷 (1983/05) Pp. 187-193

https://doi.org/10.30048/ACTASOS.198305.0032

摘要

從民國61年6月到民國70年10月之間，榮民總醫院眼科總共在73位隅角閉鎖性青光眼患者一眼實施小樑切除術而另一眼同時實施周邊虹膜切除術，每位病人追踪期間至少4年以上。本篇報告之目的在比較兩種手術分別在隅角結構相似之同一病人兩眼上所得到之視力、眼壓、合併症以及長期追踪視力和眼壓控制之異同。作者結論認為(1)隅角閉鎖青光眼慢性化之後宜做小樑切除術。(2)治療性周邊虹膜切除術後周邊前黏連若大於180°常需小樑切除術始能控制眼壓。(3)預防性周邊虹膜切除術是有效的。

並列摘要

With a follow up of at least 4 years, 73 patients of angle-closure glaucoma have received simultaneous trabeculectomy on one eye and peripheral iridectomy on the other eye during the past 10 years in the Veterans General Hospital. This report is to compare the results of these two kinds of operations performed on different but gonicscopically analogous eyes of the same patient. The authors conclude that
(1) The chronicized angle-closure glaucoma eyes should receive trabeculectomy and
(2) Further filtering operation may be mandatory to control the intraocular pressure if peripheral anterior synechia is found to be greater than 180° of circumference after the therapeutic peripheral iridectomy and
(3) Prophylactic peripheral iridectomy is effective.

並列關鍵字

Angle-closure glaucoma ； Cataract ； Complication flat anterion chamber ； Hypotony ； Intraocular pressure ； Peripheral iridectomy ； Trabeculectomy ； Vision