中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
10期
750-752
,共3页
范肃洁%郭黎霞%韩伟%崔宏宇%张志宏
範肅潔%郭黎霞%韓偉%崔宏宇%張誌宏
범숙길%곽려하%한위%최굉우%장지굉
联合激光%青光眼,闭角型%前房角
聯閤激光%青光眼,閉角型%前房角
연합격광%청광안,폐각형%전방각
Laser,combined%Glaucoma,angle,closure%Angle,chamber,anterior
目的 探讨联合激光治疗前房角粘连范围大于180°的慢性闭角型青光眼的疗效.方法 对43例(56只眼)前房角粘连范围大于180°的慢性闭角型青光眼,先行激光周边虹膜切除术,2d后再行激光周边虹膜成形术,对手术前后的眼压、前房角、视野进行对比观察.术后随访18个月.结果 治疗后前房角粘连范围减小,眼压降低,视野无改变.随访18个月后30只眼(53.6.％)眼压在21 mm Hg以下(1 mm Hg=0.133 kPa),19只眼(33.9％)局部加用1～3种降眼压滴眼液,眼压可以控制;7只眼(12.5％,7/56)加滴2～3种降眼压药物,眼压仍高,行青光眼滤过手术.结论 联合激光治疗前房角粘连大于180°的慢性闭角型青光眼可降低滤过手术的比例.
目的 探討聯閤激光治療前房角粘連範圍大于180°的慢性閉角型青光眼的療效.方法 對43例(56隻眼)前房角粘連範圍大于180°的慢性閉角型青光眼,先行激光週邊虹膜切除術,2d後再行激光週邊虹膜成形術,對手術前後的眼壓、前房角、視野進行對比觀察.術後隨訪18箇月.結果 治療後前房角粘連範圍減小,眼壓降低,視野無改變.隨訪18箇月後30隻眼(53.6.％)眼壓在21 mm Hg以下(1 mm Hg=0.133 kPa),19隻眼(33.9％)跼部加用1～3種降眼壓滴眼液,眼壓可以控製;7隻眼(12.5％,7/56)加滴2～3種降眼壓藥物,眼壓仍高,行青光眼濾過手術.結論 聯閤激光治療前房角粘連大于180°的慢性閉角型青光眼可降低濾過手術的比例.
목적 탐토연합격광치료전방각점련범위대우180°적만성폐각형청광안적료효.방법 대43례(56지안)전방각점련범위대우180°적만성폐각형청광안,선행격광주변홍막절제술,2d후재행격광주변홍막성형술,대수술전후적안압、전방각、시야진행대비관찰.술후수방18개월.결과 치료후전방각점련범위감소,안압강저,시야무개변.수방18개월후30지안(53.6.％)안압재21 mm Hg이하(1 mm Hg=0.133 kPa),19지안(33.9％)국부가용1～3충강안압적안액,안압가이공제;7지안(12.5％,7/56)가적2～3충강안압약물,안압잉고,행청광안려과수술.결론 연합격광치료전방각점련대우180°적만성폐각형청광안가강저려과수술적비례.
Objective To explore the efficacy of laser peripheral iridectomy combined with laser peripheral iridoplasty for chronic angle closure glaucoma(CACG) with goniosynechia over 180°.Methods Fifty-six eyes of 43 cases of chronic angle closure glaucoma with goniosynechia over 180° were enrolled in the study.All cases were treated by laser peripheral iridectomy,which followed by laser peripheral iridoplasty 48 hours later.The intraocular pressure(IOP),chamber angle state,visual field before and after laser treatment were compared and analyzed.Results The follow-up was 18 months.After laser treatments,all cases had smaller range of goniosynechia and lower IOP,there was no change in visual field.At the last visit,there were 30 eyes (53.6.％) with IOP lower than 21 mmHg.The IOP of 19 eyes (33.9％) could be controlled by 1 ～ 3 kinds of antiglaucoma medication.The IOP of 7 eyes(12.5％) could not be controlled with two to three types of antiglaucoma medication,and they were then treated by filtering surgery.Conclusion laser peripheral iridectomy combined with laser peripheral iridoplasty has good clinical efficacy in the management of chronic angle closure glaucoma with goniosynechia over 180°,which reduces the proportion of filtering surgery.
