CAJ | 학술논문

目的：研究黏弹物质小管切开术和超声黏弹物质小管切开术治疗眼压失控的成功率及并发症。在Nd：YAG前房角穿刺后，检测并发症及结果。 　　方法：评估1a内进行黏弹物质小管切开术和超声黏弹物质小管切开术时收集预期的数据。除此之外，Nd：YAG激光房角穿孔术（ LGP）应用于术后任何时期的眼压失控。结果：符合纳入条件并能获得随访数据者100眼。76％（76眼）完全成功（未经青光眼治疗眼内压≤18 mmHg ），88％（88眼）合格成功（眼内压≤18mmHg，伴或者不伴永久性青光眼的治疗）。63％（63眼）在未用药的情况下眼内压下降了30％，67％（67眼）伴或者不伴有永久性青光眼的治疗。 Kaplan-Meier生存分析建议超声黏弹物质小管切开术在未用药的情况下把眼压降到18mmHg，时序检验P＝0．005。16眼在不同的时间点需要术后激光房角穿孔，大多数在术后6 mo 发作。平均眼内压术后减少24.8％（P＝0．0002）。激光房角穿孔术后第12mo未经治疗的眼内压小于18 mmHg的达到94％（15眼）。所有患者在激光房角穿孔术后至少3 mo眼内压保持下降趋势，后期将继续进行随访。 　　结论：我们的数据显示黏弹物质小管切开术和超声黏弹物质小管切开术在这随访1 a内能成功控制眼内压。 Nd：YAG激光房角穿孔术在降低和保持眼内压方面也很有成效。几乎没有并发症。
목적：연구점탄물질소관절개술화초성점탄물질소관절개술치료안압실공적성공솔급병발증。재Nd：YAG전방각천자후，검측병발증급결과。 　　방법：평고1a내진행점탄물질소관절개술화초성점탄물질소관절개술시수집예기적수거。제차지외，Nd：YAG격광방각천공술（ LGP）응용우술후임하시기적안압실공。결과：부합납입조건병능획득수방수거자100안。76％（76안）완전성공（미경청광안치료안내압≤18 mmHg ），88％（88안）합격성공（안내압≤18mmHg，반혹자불반영구성청광안적치료）。63％（63안）재미용약적정황하안내압하강료30％，67％（67안）반혹자불반유영구성청광안적치료。 Kaplan-Meier생존분석건의초성점탄물질소관절개술재미용약적정황하파안압강도18mmHg，시서검험P＝0．005。16안재불동적시간점수요술후격광방각천공，대다수재술후6 mo 발작。평균안내압술후감소24.8％（P＝0．0002）。격광방각천공술후제12mo미경치료적안내압소우18 mmHg적체도94％（15안）。소유환자재격광방각천공술후지소3 mo안내압보지하강추세，후기장계속진행수방。 　　결론：아문적수거현시점탄물질소관절개술화초성점탄물질소관절개술재저수방1 a내능성공공제안내압。 Nd：YAG격광방각천공술재강저화보지안내압방면야흔유성효。궤호몰유병발증。
AIM: To evaluate the outcomes, success rate and complications encountered following vsi coc analo stomy and phacoviscocanalostomy.And to quantify our need, compil ca tions and results following Nd:YAG goniopuncture.METHODS: Dat a was co llected prospecit vely on eye s undergoing vsic ocanalostomy or phacovics ocanalostomy and evaluation was ca rried out at 1 year.In addition Nd:YAG laser goniopuncture ( LGP ) was performed atan y stage for un controlledp ost-operative IO P. R ESULTS: Post-operative da ta was available for 100 eyes.Eyes achievingc omplete success ( def ined as IOP≤18mmHg without any glaucoma medication) was 76%( n=76), and thosew ith a qualified success (defined as a total of eyes with an IOP ≤ 18mmHg without or with 1 perman ent glaucomam edications) was 88% (n=88). Sixty-t hree percent ( n =63 ) of eyes achieved a 30%reduc tion in IOP without a need for medication and 67%( n=67 ) in total without or with 1 perm anen t glaucoma medication. The Kaplan-Meier survival analysis suggests phacoviscocanalostomy is superior at lowering the I OP to less than 18mmHg withoutm edica tion, log ra nk tes t P=0.005. Sixteen eyes required post operative LGP at various time points, a majority ( 40%) of episodes were around 6 months post surgery.There was a 24.8% post LGP reduction in mean IOP ( P=0.0002).For LGP at 12 months an IOP less than 18mmHg without glaucoma treatment was achieved in 94%( n=15) following LGP.All patients maintained a drop in IOP at least 3 months following LGP, longer follow up data was to follow. CONCLUSION: Our data sho w viscoc analostomy and phacoviscocan alostomy are highly successf ul at 1 year. Nd:YAG laser goniopu ncture was also efficacious at lowering and maintaining the IOP. Complications were scarce.