摘要
目的探讨采用联合激光技术治疗高褶虹膜型青光眼的疗效。方法对２０例（３７只眼）早期原发性慢性闭角型高褶虹膜型青光眼，一次性行氩激光周边虹膜成形术联合氩激光加ＮｄＹＡＧ激光周边虹膜切除术（联合激光手术）。结果随访８个月至４年零７个月，平均２．７年。１７例（３２只眼）获得满意疗效，在观察期内无青光眼急性发作，眼压从５．８０±１．０４ｋＰａ（１ｋＰａ＝７．５ｍｍＨｇ）下降到２．７４ｋＰａ以下，周边前房加深，房角增宽，虹膜皱缩，有效地防止了房角的进一步粘连，８６．７％的患者暗室试验转阴性。结论联合激光手术是治疗高褶虹膜型青光眼的有效方法之一。
Objective To evaluate the therapeutic effects of acombined laser technique for plateau iris glaucoma.Methods 20 cases(37 eyes) of early plateau iris glaucoma were treated by a laser tech nique that included argon laser peripheral iridoplasty and argon+Nd∶YAG laser iridectomy.Results The postoperative follow up ranged from8months to 4 years and 7 months(30 eyes for more than 2 years,mean 2.7 years).17 cases(32 eyes) obtained satisfactory effects,no acute attacks were seen in the follow up,intraocular pressure decreased from 5.8±1.04 kPa to below 2.74 kPa,peripher alanterior chamber depth increased,angle widened,the iris retracted away from the trabecul armeshwork,thus further synechiae of chamber angle were prevented effectively,and the dark room provocative test results turned to negative in 86.7% of cases.Conclusion Argon laser peripheral iridoplasty combined argon+Nd∶YAG laser iridectomy may be asafe and effective method for treatment of plateau iris glaucoma.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1997年第3期165-168,共4页
Chinese Journal of Ophthalmology
关键词
青光眼
闭角型
激光手术
Glaucoma,angle closure Laser surgery
