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緒 言
トラベクレクトミーはCairns1)やWatson2)らによつて始められ,今日ではRidgway3),Wat-son4),望月5)らによつて長期観察の報告も行われている。そして近年,緑内障を伴う白内障に対しトラベクレクトミーを併用した白内障手術も行なわれている6)が,本邦には詳細な報告はまだ無い。われわれは今回このトラベクレクトミーを併用した白内障手術を行い,その術後成績を検討する機会を得たので報告する。
We performed cataract extraction combined with trabeculectomy on 34 eyes of 30 patients with cataract and various types of manifest glau-coma, with a postsurgical follow-up period of more than six months. Fifteen eyes had angle-closure glaucoma, 10 had open-angle glaucoma and 9 eyes had secondary glaucoma.
The surgical outcome was generally favorable. The intraocular pressure was well controlled without medication in 90% of operated eyes. The facility of outflow by tonography showed marked improvement after the surgery.
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