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1.介紹了13年来小视野青光眼29例33眼治疗效果;观察时間;发病年龄;双眼发病情况及就診时間。 2.根据病人視力、視野、眼底、眼压等改变分析了治疗效果。手术治疗在慢性充血性青光眼17眼中成功9眼占一半以上,在单純性青光眼了眼中成功3眼不足半数,故手术疗法对充血性青光眼效果較好。保守疗法中充血性青光眼4眼中成功2眼,失明2眼。单純性5眼中,2眼成功,3眼不变,故保守疗法对单純性青光眼效果較好。 3.最后討論了一般学者們对小视野青光眼手术及保守疗法的意見。我們认为减压是治疗青光眼的基本問題。在用保守疗法无效时,应及时采用手术减压。手术在慎重选择适应症及作好术前准备情况下效果还是滿意的。对于不适于手术之患者应在医生严密观察下执行保守疗法。
1. Introduced 13 years of small field glaucoma 29 cases of 33 cases of treatment; observation time; age of onset; binocular morbidity and treatment time. 2. According to the patient’s vision, vision, fundus, intraocular pressure and other changes in the analysis of the treatment effect. Surgical treatment of chronic glaucomatous glaucoma in 17 eyes accounted for more than half of the success in more than half of simple glaucoma in the eyes of less than half of the 3, so the surgical treatment of congestive glaucoma better. Conservative glaucoma in conservative treatment 4 eyes 2 eyes, 2 eyes blind. Simple 5 eyes, 2 eyes were successful, 3 unchanged, so the conservative treatment of simple glaucoma better. Finally, we discuss the general scholars’ opinion on the surgery and conservative treatment of small field glaucoma. We think decompression is the basic problem in the treatment of glaucoma. In the use of conservative treatment is invalid, surgical decompression should be promptly used. Surgery in the careful selection of indications and preoperative preparation effect is still satisfactory. Patients who are not suitable for surgery should be treated conservatively under the close observation of a doctor.