国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1080-1082
,共3页
急性闭角型青光眼%激光周边虹膜切除术%激光周边虹膜成形术
急性閉角型青光眼%激光週邊虹膜切除術%激光週邊虹膜成形術
급성폐각형청광안%격광주변홍막절제술%격광주변홍막성형술
acute angle - closure glaucoma%laser peripheral iridectomy%laser peripheral iridoplasty
目的：探讨激光周边虹膜成形联合周边虹膜切除术,治疗药物难控制的急性闭角型青光眼的效果和安全性。<br> 方法：选取药物治疗24 h后眼压仍高于21 mmHg的原发性急性闭角型青光眼15例17眼和白内障膨胀期继发的急性闭角型青光眼4例4眼,共19例21眼,采用激光周边虹膜成形联合周边虹膜切除术,术后24 h观察视力、眼压、角膜、周边前房深度、房角及并发症。<br> 结果：所有患者激光术后24 h眼压均有大幅度的下降,术前眼压53.09±11.01mmHg,术后24h眼压下降至14.98±4.21mmHg,治疗前后差异有统计学意义( P<0.01)。术后视力由术前手动~0.3提高至0.1~1.0。所有患者角膜水肿减轻或消退,周边前房深度增加,房角不同程度开放。其中虹膜出血11眼(52.4%),轻度反应性虹膜炎21眼(100%),无1眼发生角膜灼伤。<br> 结论：激光周边虹膜切除联合周边虹膜成形术,是降低药物难控制的急性闭角型青光眼眼压的一种安全有效的方法。
目的：探討激光週邊虹膜成形聯閤週邊虹膜切除術,治療藥物難控製的急性閉角型青光眼的效果和安全性。<br> 方法：選取藥物治療24 h後眼壓仍高于21 mmHg的原髮性急性閉角型青光眼15例17眼和白內障膨脹期繼髮的急性閉角型青光眼4例4眼,共19例21眼,採用激光週邊虹膜成形聯閤週邊虹膜切除術,術後24 h觀察視力、眼壓、角膜、週邊前房深度、房角及併髮癥。<br> 結果：所有患者激光術後24 h眼壓均有大幅度的下降,術前眼壓53.09±11.01mmHg,術後24h眼壓下降至14.98±4.21mmHg,治療前後差異有統計學意義( P<0.01)。術後視力由術前手動~0.3提高至0.1~1.0。所有患者角膜水腫減輕或消退,週邊前房深度增加,房角不同程度開放。其中虹膜齣血11眼(52.4%),輕度反應性虹膜炎21眼(100%),無1眼髮生角膜灼傷。<br> 結論：激光週邊虹膜切除聯閤週邊虹膜成形術,是降低藥物難控製的急性閉角型青光眼眼壓的一種安全有效的方法。
목적：탐토격광주변홍막성형연합주변홍막절제술,치료약물난공제적급성폐각형청광안적효과화안전성。<br> 방법：선취약물치료24 h후안압잉고우21 mmHg적원발성급성폐각형청광안15례17안화백내장팽창기계발적급성폐각형청광안4례4안,공19례21안,채용격광주변홍막성형연합주변홍막절제술,술후24 h관찰시력、안압、각막、주변전방심도、방각급병발증。<br> 결과：소유환자격광술후24 h안압균유대폭도적하강,술전안압53.09±11.01mmHg,술후24h안압하강지14.98±4.21mmHg,치료전후차이유통계학의의( P<0.01)。술후시력유술전수동~0.3제고지0.1~1.0。소유환자각막수종감경혹소퇴,주변전방심도증가,방각불동정도개방。기중홍막출혈11안(52.4%),경도반응성홍막염21안(100%),무1안발생각막작상。<br> 결론：격광주변홍막절제연합주변홍막성형술,시강저약물난공제적급성폐각형청광안안압적일충안전유효적방법。
AIM: To investigate the effect and safety of laser peripheral iridoplasty combined with iridectomy in the unmanageable acute angle - closure glaucoma by medication. <br> METHODS:Totally 19 cases (21 eyes) with acute angle-closure glaucoma, including 15 cases ( 17 eyes ) with primary glaucoma and 4 cases (4 eyes) with intumescent cataract - induced glaucoma, were recruited into the study. The intraocular pressure ( IOP ) of all cases were still >21mmHg after 24h drug treatment, and then were treated by laser peripheral iridoplasty combined with iridectomy. The visual accurity, IOP, cornea, peripheral anterior chamber depth, anterior chamber angle and complications were observed at 24h after the surgery. <br> RESULTS:The mean IOP of all cases was reduced from 53. 09±11. 01mmHg before the surgery to 14. 98±4. 21mmHg at 24h after the treatment, with significant statistical difference ( P< 0. 01 ). The visual acurity of all cases increased in different degrees from handle move to 0. 3 to 0-1-1. 0 at 24h after the treatment. In all cases, cornea edema reduced or cleared up, peripheral anterior chamber depth increased, and anterior chamber angle reopened in different degrees. Complications included iris hemorrhage in 11 eyes (52. 4%), mild iritis in 21 eyes (100%). No cornea burn was encountered. <br> CONCLUSION: Laser peripheral iridoplasty combined with iridectomy is an effective and safe method for the treatment of the unmanageable acute angle - closure glaucoma by medication.
