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外路小梁切开术和小梁切除术治疗原发性婴幼儿型青光眼的疗效 …
引用本文:Wang J,Guo W,Sun X. 外路小梁切开术和小梁切除术治疗原发性婴幼儿型青光眼的疗效 …[J]. 中华眼科杂志, 1999, 35(2): 119-121
作者姓名:Wang J  Guo W  Sun X
摘    要:比较外路小梁切开术和小梁切除术治疗原发性婴幼儿型青光眼的疗效和并发症。

关 键 词:青光眼 小梁切开术 小梁切除术 原发性

Extra-trabeculotomy and trabeculectomy in treatment of primary infantile glaucoma
Wang J,Guo W,Sun X. Extra-trabeculotomy and trabeculectomy in treatment of primary infantile glaucoma[J]. Chinese Journal of Ophthalmology, 1999, 35(2): 119-121
Authors:Wang J  Guo W  Sun X
Affiliation:Department of Ophthalmology, ENT and Eye Hospital of Shanghai Medical University, Shanghai 200031.
Abstract:OBJECTIVE: To compare the effectiveness and complication of extra-trabeculotomy and trabeculectomy in the treatment of primary infantile glaucoma. METHOD: Patients with primary infantile glaucoma and having undergone either of the two procedures from Jan, 1992 - June, 1996 were selected. Among them, group one (30 patients, 51 eyes) underwent extra-trabeculotomy, while group two (26 patients, 46 eyes) underwent trabeculectomy. RESULTS: The success rates in group one were 92.2% at the time of discharge and 87.5% during follow-up (mean 26.3 months); the rates in group two were 73.9% and 62.9% (mean 28.1 months) respectively, the differences being significant (P < 0.05). In group one, there was no severe complication, while in group two, two cases had vitreous prolapse. CONCLUSION: Extra-trabeculotomy is more efficacious and safer than trabeculectomy in the treatment of primary infantile glaucoma. It should be the first choice in the treatment of primary infantile glaucoma.
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