Scheie氏緑内障手術の成績について

Results of Peripheral Iridectomy with Scleral Cautery (Scheie's Procedure)

I．緒言

　従来緑内障に対する手術が，数多く施行されその報告がなされているが，1958年，ScheieがRet—ractiorl of scleral wound edges as a fistu—lizing Procedure （Peripheral iridectomy withscleral cautery）として，広く一般に施行されつっあるが，我々も若干の症例を経験し得たので，その成積を眼圧効果，即ち眼圧調整の良否を中心として，合併症，濾過瘢痕，房水流出率（C値）の変動について，比較検討した結果を報告する。

Peripheral iridecctomy with scleral cautery for glaucoma was done upon 36 eyes with various primary glaucoma and secondary glau-coma.

The results obtained upon ocular tension, filtering bleb, and facility of outflow were as follows:

1) The ocular tension was controlled in 88-9% of all 36eyes : in 90.5% of 21 eyes with na-rrow angle glaucoma, in 85.7% of 14 eyes with chronic simple glaucoma.

2) On late observation ( 6 months to 2.5 years after the surgery), the ocular tension was controlled in 73.6% of 19 eyes of which one case was reoperated on by the same method.