掺钕钇铝石榴石激光虹膜切开术治疗早期闭角型青光眼

• 作 者: 刘旭阳 蒋幼芹 吴振中
• 机 构: 湖南医科大学附二院眼科,湖南医科大学附二院眼科,湖南医科大学附二院眼科 长沙 410011衡阳医学院附二院眼科 421001,长沙 410011,长沙 410011
• 出 处: 眼科研究
• 发表日期: 1990年03期
• 关键词: 激光虹膜切开术 闭角型青光眼 掺钕钇铝石榴石 眼压 虹膜隐窝 周边前房深度 平均眼压 隐窝 临床前期 虹膜孔

采用Q开关Nd:YAG激光虹膜切开术治疗早期原发性闭角型青光眼39例51只眼。虹膜隐窝内击射所需能量与击射次数平均为8.5±4.1mj,1.9±0.9次,非隐窝内击射为15.5±4.7mj,3.2±0.9次(P<0.01)。随访3～11个月。以眼压≤2.79kPa(≤21mmHg)为标准。成功率:78.9%,总有效率为94.7%。从眼压、C值及24小时眼压波动等方面评价疗效,并讨论了操作技术及经验。

Treatment of 51 cases of early primary angle - closure glaucoma in 51 eyes with Q - switched Nd: YAG laser iridectomy. The average number of shots and shots required for intracapsular iris implantation was 8.5 ± 4.1 mj and 1.9 ± 0.9 shots, respectively, and non-crypt shots were 15.5 ± 4.7 mj and 3.2 ± 0.9 shots (P <0.01). Follow-up 3 to 11 months. IOP ≤ 2.79kPa (≤ 21mmHg) as the standard. Success rate: 78.9%, the total effective rate was 94.7%. From the intraocular pressure, C value and 24 hours intraocular pressure fluctuations and other aspects of assessment of efficacy, and discusses the operating skills and experience.