摘要
目的:观察倍频Nd∶YAG激光联合YAG激光行周边虹膜切除术治疗急性闭角型青光眼的疗效及并发症。方法:本组共105例,其中临床前期91眼,先兆期32眼,间歇期46眼,均先使用倍频Nd∶YAG激光在拟行周边虹膜切孔处分层射击,最后用YAG激光穿透造孔,随访12mo,观察疗效及并发症。结果:术后1～6h眼压暂时性升高,24h后眼压下降,虹膜周切孔均通畅,房角无粘连,3眼周切孔处局限性晶状体混浊。结论:倍频Nd∶YAG激光联合YAG激光行周边虹膜切除术是防止闭角型青光眼急性发作的安全有效的手术。
AIM： To observe the efficacy and complications of DF （ doubling frequency ） Nd ： YAG laser combined with YAG laser iridectomy for acute ACG （angle-closure glaucoma）. METHODS： A total of 105 cases included 91 pre-clinical, 32 precursor period and 46 intermittent period. First the specific iris layer to be penetrated was fired by the DF Nd ：YAG laser , and then was penetrated by YAG laser. Patients were followed up for 12 months, and the efficacy and complications were observed. RESULTS： A temporary increase occured in intraocular pressure, 1-6 hours after surgery; after 24 hours intraocular pressure decreased; iris pores were unblocked and angle open, and partial opacity lens in iris hole occurred in 3 eyes. CONCUSION： The DF Nd ： YAG laser combined with YAG laser peripheral iridotomy can prevent acute onset of ACG safely and effectively.
出处
《国际眼科杂志》
CAS
2009年第7期1346-1347,共2页
International Eye Science
