中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
8期
830-832
,共3页
选择性激光小梁成形术%开角型青光眼%眼压
選擇性激光小樑成形術%開角型青光眼%眼壓
선택성격광소량성형술%개각형청광안%안압
Selective laser trabeculoplasty%Open angle glaucoma%Intraocular pressure
目的 评价选择性激光小梁成形术治疗原发性开角型青光眼的疗效和安全性.方法 局部用药治疗的原发性开角型青光眼43只眼和高眼压症7只眼.使用Q开关倍频Nd:YAG激光实施180°小梁网激光照射.激光能量0.5～1.0 mJ,50～60个击射点.术后定期测量眼压和裂隙灯检查.随访期内仍然给予降眼压眼液.结果 平均随访8.6月(6～12月).术后所眼都有轻度前节炎症反应,3天后自然消退.术后继续使用降眼压眼液.A组(基线眼压17～24 mm Hg)和B组(基线眼压26～36 mm Hg)术后1、3、6、12月眼压下降幅度分别为30.1%、26.3%、25.6%、23.3%;和17%、21.5%、15%、10.9%,2组差异有显著性(P＜0.05).结论 SLT治疗开角青光眼的并发症是轻微的,降眼压的效果与术前眼压基线高低有关.
目的 評價選擇性激光小樑成形術治療原髮性開角型青光眼的療效和安全性.方法 跼部用藥治療的原髮性開角型青光眼43隻眼和高眼壓癥7隻眼.使用Q開關倍頻Nd:YAG激光實施180°小樑網激光照射.激光能量0.5～1.0 mJ,50～60箇擊射點.術後定期測量眼壓和裂隙燈檢查.隨訪期內仍然給予降眼壓眼液.結果 平均隨訪8.6月(6～12月).術後所眼都有輕度前節炎癥反應,3天後自然消退.術後繼續使用降眼壓眼液.A組(基線眼壓17～24 mm Hg)和B組(基線眼壓26～36 mm Hg)術後1、3、6、12月眼壓下降幅度分彆為30.1%、26.3%、25.6%、23.3%;和17%、21.5%、15%、10.9%,2組差異有顯著性(P＜0.05).結論 SLT治療開角青光眼的併髮癥是輕微的,降眼壓的效果與術前眼壓基線高低有關.
목적 평개선택성격광소량성형술치료원발성개각형청광안적료효화안전성.방법 국부용약치료적원발성개각형청광안43지안화고안압증7지안.사용Q개관배빈Nd:YAG격광실시180°소량망격광조사.격광능량0.5～1.0 mJ,50～60개격사점.술후정기측량안압화렬극등검사.수방기내잉연급여강안압안액.결과 평균수방8.6월(6～12월).술후소안도유경도전절염증반응,3천후자연소퇴.술후계속사용강안압안액.A조(기선안압17～24 mm Hg)화B조(기선안압26～36 mm Hg)술후1、3、6、12월안압하강폭도분별위30.1%、26.3%、25.6%、23.3%;화17%、21.5%、15%、10.9%,2조차이유현저성(P＜0.05).결론 SLT치료개각청광안적병발증시경미적,강안압적효과여술전안압기선고저유관.
Objective To investigate the safety and efficacy of selective laser trabeculoplasty (SLT) in the treatment of open angle glaucoma.Methods Forty-three eyes with open-angle glaucoma and 7 eyes with ocular hypertension were treated withafrequency doubled Q-switched Nd:YAG laser.A total of 50～60 laser spots were placed over 180° of trabecular meshwork with energy levels ranging from 0.5 to 1.0mJ per pulse. Intraocular pressure measurement and slit lamp examination were regularly performed after laser surgery. Topical anti-glaucoma drug was given during the follow up period Results The follow up was 6～12 months (average 8.6 months). Slight inflammation of anterior chamber occurred in the all eyes, and disappeared 3 days later automatically. IOP reduction of group A (baseline IOP 17～24 mmHg) and groupB(baseline IOP 26-36 mmHg) was 30.1%, 26.3%, 25.6%,23.3%; and 17%, 21.5%. 15%, 10.9% at 1,3,6and 12 months, respectively. IOP reduction between two groups was significantly difference(P＜0.05). Conclusions Adverse effects of SLT for open angle glaucoma is a mild and temporary. Effect of lowing IOP isrelated to baseline pressure.
