沙眼性倒睫氩激光治疗的前瞻性评估
Prospective evaluation of the argon laser treatment of trachomatous trichiasis.
作者信息
Unlü K, Aksünger A, Söker S, Karaca C, Bilek K
机构信息
Department of Ophthalmology, University of Dicle School of Medicine, Diyarbakir, Turkey.
出版信息
Jpn J Ophthalmol. 2000 Nov-Dec;44(6):677-9. doi: 10.1016/s0021-5155(00)00284-7.
PURPOSE
To evaluate the effectiveness of argon laser photocoagulation for the treatment of trachomatous trichiasis.
METHODS
This report presents a prospective, non-masked study of 22 patients (36 eyelids) with trachomatous trichiasis treated with the argon laser. Each abnormal lash was treated with a beam of 50- to 200-micron spot size, for 0.2 seconds, and 1 to 1.2 watts power. In 30 lids (83.3%) infiltration anesthesia was used and in 6 lids (16.7%) no anesthesia was used.
RESULTS
Successful treatment with no evidence of recurrence was achieved in 55.5% of lids after one laser session. The remaining 44.5% of the lids required two or three sessions. The final success rate of the method was 88.9%. No complications were observed. The mean follow-up time was 10.6 months.
CONCLUSION
Argon laser photocoagulation is an effective and safe method for the treatment of trachomatous trichiasis.
目的
评估氩激光光凝治疗沙眼性倒睫的有效性。
方法
本报告呈现了一项对22例（36只眼睑）沙眼性倒睫患者进行氩激光治疗的前瞻性、非盲法研究。每根异常睫毛用光斑大小为50至200微米的光束照射0.2秒，功率为1至1.2瓦。30只眼睑（83.3%）采用浸润麻醉，6只眼睑（16.7%）未使用麻醉。
结果
一次激光治疗后，55.5%的眼睑获得成功治疗且无复发迹象。其余44.5%的眼睑需要进行两到三次治疗。该方法的最终成功率为88.9%。未观察到并发症。平均随访时间为10.6个月。
结论
氩激光光凝是治疗沙眼性倒睫的一种有效且安全的方法。
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