| 摘要: |
| ［摘要］ 目的 评价半导体激光周边虹膜成形术治疗原发性闭角型青光眼急性发作的安全性和有效性。方法 对我院确诊25例28眼原发性闭角型青光眼急性发作采用半导体激光周边虹膜成形术治疗，术后15、30、60、90 min和24 h测量眼压。结果 28眼术前平均眼压(58.4±1.9)mmHg，15 min后降至平均眼压(49.3±2.1)mmHg，下降幅度为15.54%，30 min后降至平均眼压(39.3±3.3)mmHg，下降幅度为32.76%，60 min后平均眼压(29.4±3.3)mmHg，下降幅度为49.57%，90 min后平均眼压23.03 mmHg，下降幅度为60.61%。术后各时段眼压与术前相比，差异有统计学意义（P<0.05）。治疗后24 h眼压保持在≤21 mmHg以下者有20眼，另有8眼眼压上限≥21 mmHg，但比治疗前有大幅度下降。没有一例术后眼压较术前高。所有病例均无严重并发症。结论 半导体激光周边虹膜成形术是治疗原发性闭角型青光眼急性发作的一种安全有效的方法。 |
| 关键词: 激光 周边虹膜成形术 原发性闭角型青光眼 急性发作 治疗 |
| DOI：10.3969/j.issn.1674-3806.2011.03.04 |
| 分类号:R 775 |
| 基金项目:广西壮族自治区卫生厅重点科研课题（编号：重200961） |
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| Semiconductor laser peripheral iridoplasty for treatment of primary angle-closure glaucoma complicated with acute attack |
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ZHONG Shan, LI Li
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Department of Ophthalmology，the People′s Hospital of Guangxi Zhuang Autonomous Region，Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To evaluate the safety and effectiveness of semiconductor laser peripheral iridoplasty for treatment of primary angle-closure glaucoma complicated with acute attack. Methods Twenty-eight 28 eyes of 25 cases with primary angle-closure glaucoma complicated with acute attack diagnosed in our hospital were treated by semiconductor laser peripheral iridoplasty. Intraocular pressure （IOP） at 15 minutes, 30 minutes,60 minutes,90 minutes and 24 hours after laser were detected.Results The mean preoperative IOP of 28 eyes was (58.4±1.9)mmHg, at 15 minutes after laser the mean IOP was (49.3±2.1)mmHg, with decrease of 15.54%; at 30 minutes after laser the mean IOP was (39.3±3.3)mmHg, with decrease of 32.76%, at 60 minutes after laser the mean IOP was (29.4±3.3)mmHg, with decrease of 49.57%, at 90 minutes after laser the mean IOP was 23.03 mmHg, with decrease of 60.61%. There were significant statistical difference between IOP before laser and IOP at every points after treatment （P<0.05）. At 24 hours after laser, IOP of 20 eyes were ≤21mmHg, and IOP of 8 eyes≥21mmHg, with significant decrease compared with that before laser. There was no case whose postoperative IOP was higher than that before laser. There were no serious complications in all cases.Conclusion Semiconductor laser peripheral iridoplasty for the treatment of primary angle-closure glaucoma complicated with acute attack is a safe and effective method. |
| Key words: Laser Peripheral iridoplasty Primary angle-closure glaucoma Acute attack Treatment |
