トラベクロトミー術後の隅角所見とその意義 2．修飾パターン

Gonioscopic findings after trabeculotomy.:Part 2. Modifying features

　トラベクロトミー術後の隅角所見で修飾パターンを構成する特殊所見について述べた．特殊所見としては不鮮明裂隙，色素沈着，デスメ膜剥離，膜状組織trabeculodialysis，虹彩・毛様体損傷などがある．不鮮明裂隙は経過期間が2年を越えると24％に認め，裂隙再閉塞を示唆する所見と考えられた．色素沈着も経過期間が2年以上で20％に認めた．他には，デスメ膜剥離10カ所，膜状組織7カ所，trabeculodialysis 3カ所を認めた．膜状組織，trabeculodialysisは線維柱帯内壁の離開を示唆する所見と考えられた．

We evaluated further gonioscopic features following trabculotomy in 77 eyes with different types of glaucoma including open angle glaucoma 63 eyes, closed angle or combined mechanism glau-coma 5 eyes and pseudoexfoliation 9 eyes. we observed a variety of finding in or near the site of trabeculotomy including : indistinct cleft, pigmen-tation, detachment of Descemet's membrane, adher-ent membraneous tissue, trabeculodialysis, damage to the iris or the ciliary body among others. The incidence of indistinct cleft and pigmentation which stood initially at 24% and 20% each, increased during the follow-up of 2 years or more. The membraneous tissue (4.5%) and trabeculodialysis (1.9%) seemed to be located at the inner wall of the trabecular meshwork.

Rinsho Ganka (Jpn J Clin Ophthalmol) 41(12) : 1339-1342, 1987