摘要
目的 探讨采用改良氩激光周边虹膜成形术后中晚期闭角型青光眼前房角的改变及疗效。方法 对20例34眼前房角关闭270°～360°,虹膜膨隆型及高褶虹膜型的中晚期闭角型青光眼,采用大光斑、低能量的曲线形、斜照、略模糊光斑光凝的改良氩激光周边虹膜成形术式。 结果 术后随访6～24个月,平均10.8 个月,其中1年以上者14例26眼。15例26眼眼压控制≤21 mmHg(76.47％);28眼周边前房加深,房角粘连范闱减轻或重新开放(82.35%) 全部治疗眼的周边虹膜皱缩,堆积现象缓解,并发症少,有效地保护了患者仅存的视功能。结论 改良氩激光周边虹膜成形术是治疗中。
Objective To observe the change of anterior chamber angle with middle and later stage of closure angle glaucoma after modified argon laser peripheral iridoplasty. Methods Thirty-four eyes of 20 cases with middle and later stage of closure angle glaucoma, including plateau-iris glaucoma and iris bombe glaucoma with angle closure 27 ° - 360° under goldinann gonioscopy. All cases were treated using modified argon laser peripheral iridoplasty with low power, oblique and inaceurate locus big photoooagulation spot. The follow-up period was 6 - 24 months. Among them , 26 eyes ( 14 cases ) were lollowed-up) > 12 months. Results Postoperatively, the intraocular pressures ( IOP) of 26 eyes ( 15 cases ) were ≤21 mmHg( 76. 47% ) ;28 eyes (82. 35% ) appeared deeper peripheral chamber and improved goniosynechia or anterior chamber angle reopened. There were a few postoperative complications. Conclusions Modified argon laser peripheral iridoplasty is an effective method lor treatment ol middle and later stages ol closure angle glaucoma.
出处
《眼科研究》
CSCD
北大核心
2003年第1期56-58,共3页
Chinese Ophthalmic Research
基金
广西壮族自治区科委科研基金资助(981707)
