中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2009年
11期
1291-1292
,共2页
李东侃%黄维艺%张悦%侯家敏
李東侃%黃維藝%張悅%侯傢敏
리동간%황유예%장열%후가민
选择性激光小梁成形术%原发性开角型青光眼
選擇性激光小樑成形術%原髮性開角型青光眼
선택성격광소량성형술%원발성개각형청광안
Primary open-angle glaucoma%Selective laser trabeculoplasty
目的 评价选择性激光小梁成形术(Selective laser Trabeculoplasty SLT)对原发性开角型青光眼(primary open-angle glaucoma,POAG)昼夜眼压的影响.方法 POAG患者40例76只眼.倍频Q-开关532nm Nd YAG激光,3ns单脉冲,光斑直径400μm,激光击射下方180°范围小梁组织,能量0.53～0.89mJ,点数60～100点.气动眼压计测量术前及术后12周昼夜眼压,两组数值比较采用配对t检验.结果 术前平均眼压(21.6±2.87)mmHg(1mmHg=0.133KPa),术后平均眼压(18.7±1.36)mmHg,两组比较P＜0.05(t=7.69);手术前后6am点术眼眼压降低最明显,为6.9 mmHg.术前眼压高峰出现在6am,波谷最低在10pm,昼夜眼压波动6.4 mmHg;术后眼压高峰移至12时,最低在22时,昼夜眼压波动3.2 mmHg.结论 SLT治疗原发性开角型青光眼安全、可靠,可有效降低POAG患者的平均眼内压,降低昼夜眼压波动.
目的 評價選擇性激光小樑成形術(Selective laser Trabeculoplasty SLT)對原髮性開角型青光眼(primary open-angle glaucoma,POAG)晝夜眼壓的影響.方法 POAG患者40例76隻眼.倍頻Q-開關532nm Nd YAG激光,3ns單脈遲,光斑直徑400μm,激光擊射下方180°範圍小樑組織,能量0.53～0.89mJ,點數60～100點.氣動眼壓計測量術前及術後12週晝夜眼壓,兩組數值比較採用配對t檢驗.結果 術前平均眼壓(21.6±2.87)mmHg(1mmHg=0.133KPa),術後平均眼壓(18.7±1.36)mmHg,兩組比較P＜0.05(t=7.69);手術前後6am點術眼眼壓降低最明顯,為6.9 mmHg.術前眼壓高峰齣現在6am,波穀最低在10pm,晝夜眼壓波動6.4 mmHg;術後眼壓高峰移至12時,最低在22時,晝夜眼壓波動3.2 mmHg.結論 SLT治療原髮性開角型青光眼安全、可靠,可有效降低POAG患者的平均眼內壓,降低晝夜眼壓波動.
목적 평개선택성격광소량성형술(Selective laser Trabeculoplasty SLT)대원발성개각형청광안(primary open-angle glaucoma,POAG)주야안압적영향.방법 POAG환자40례76지안.배빈Q-개관532nm Nd YAG격광,3ns단맥충,광반직경400μm,격광격사하방180°범위소량조직,능량0.53～0.89mJ,점수60～100점.기동안압계측량술전급술후12주주야안압,량조수치비교채용배대t검험.결과 술전평균안압(21.6±2.87)mmHg(1mmHg=0.133KPa),술후평균안압(18.7±1.36)mmHg,량조비교P＜0.05(t=7.69);수술전후6am점술안안압강저최명현,위6.9 mmHg.술전안압고봉출현재6am,파곡최저재10pm,주야안압파동6.4 mmHg;술후안압고봉이지12시,최저재22시,주야안압파동3.2 mmHg.결론 SLT치료원발성개각형청광안안전、가고,가유효강저POAG환자적평균안내압,강저주야안압파동.
Objective To evaluate the influence on intraocular pressure of primary open-angle glaucoma patients after selective laser trabeculoplasty.Methods Forty cases(76 eyes)of POAG,multiple-frequency Q,532nm Nd YAG 3ns single pulse laser(power 0.53-0.89mJ,60-100 points,laser diameter 400μm)was performed to inferior 180°trabeculum tissues.The intraocular pressure pre-operation and 12 weeks post operation were detected,data was analyzed by T test.Results The average intraocular pressure WSS 21.6±2.87 mmHg(1mmHg=0.133KPa)pre-operative and 18.7±1.36mmHg post operative,there was statistically significantdifference(t=7.69,P＜0.05);IOP decreased most obviously(6.9mmHg)at 6am.The peak IOP pre-operative appeared at 6am and the lowest IOP appeared at 10pm,the change of IOP was 6.4 mmHg;the peak IOP post-operative appeared at 12am and the lowest IOP appeared at 10pm,the change of IOP Was 3.2 mmHg.Conclusions SLT is a safe operation to POAG,it can decrease the mean IOP and IOP wave motion day and night effectively in POAG patients.
