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引用次数: 0

摘要

本文报道47例慢性青光眼小梁切除术后眼压变化、青光眼挖出及并发症(尤其是白内障)的变化。慢性青光眼常见于男性,平均年龄为60,5岁。87.23%的病例眼压恢复正常。然而,10.53%的病例需要辅助治疗。小梁切除术后眼压值逐渐升高,达到一定限度后保持稳定。眼压控制效果最好的是开角型青光眼,其次是外伤性青光眼。20.27%的患者视力得到改善。小梁切除术减轻了所有病例的疼痛。70岁以上患者的晚期并发症主要为晶状体混浊。
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[[Trabeculectomy in Madagascar. Retrospective study over 3 years].

This study reports the results of the evolution of ocular pressure, glaucoma excavation and complications after trabeculectomy particularly cataracts observed in 47 cases of chronic glaucoma. Our chronic glaucomas are frequent in male with an average of age of 60,5 years. Normalisation of ocular tension has been obtained in 87.23% of cases. However in 10.53% of cases, an adjuvant medical treatment has been necessary. Ocular pressure figure raised up progressively after trabeculectomy to reach some limit from which it remains stable. The best ocular pressure control has been observed first in glaucoma with opened angle, then in post traumatic glaucoma. Visual acuteness was improved in 20.27% of cases. Trabeculectomy has involved a relief, a disparition of pain in all the cases. The main late complication observed is opacification of eye lens in patients aged more than 70 years old.

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