[二极管激光睫状体光凝术在儿童继发性青光眼治疗中的应用]
[Use of cyclophotocoagulation with diode laser in treatment of secondary glaucoma in children].
作者信息
Klimczak-Slaczka D, Prost M E
机构信息
Z Kliniki Okulistyki Instytutu Pomnik-Centrum Zdrowia Dziecka Kierownik.
出版信息
Klin Oczna. 2000;102(5):345-8.
AIM OF THE PAPER
To evaluate the effectiveness of transscleral diode laser cyclophotocoagulation in treatment of secondary glaucoma in children.
MATERIAL AND METHODS
50 children (50 eyes) with secondary glaucoma (aphakic, posttraumatic, in Sturge-Weber syndrome and in aniridia) which was uncontrolled with medical and surgical therapy or the surgery had a high risk of postoperative complications. In all patients diode laser transscleral cyclophotocoagulation has been performed.
RESULTS
After one month intraocular pressure was reduced (with or without medical treatment) below 23 mm Hg in 40% of patients and after 6 months in 68% of patients. The worst results were observed in posttraumatic glaucoma.
CONCLUSION
Diode laser transscleral cyclophotocoagulation is a safe and effective method of secondary glaucoma therapy in children uncontrolled with other methods of medical and surgical therapy or when the surgery has a high risk of postoperative complications.
本文目的
评估经巩膜二极管激光睫状体光凝术治疗儿童继发性青光眼的有效性。
材料与方法
50例（50眼）继发性青光眼患儿（无晶状体眼、创伤后、患斯特奇-韦伯综合征及无虹膜），其青光眼经药物和手术治疗无法控制或手术有较高术后并发症风险。所有患者均接受了二极管激光经巩膜睫状体光凝术。
结果
1个月后，40%的患者眼压（无论是否接受药物治疗）降至23 mmHg以下；6个月后，68%的患者眼压降至该水平。创伤后青光眼的治疗效果最差。
结论
对于经其他药物和手术治疗方法无法控制或手术有较高术后并发症风险的儿童继发性青光眼，二极管激光经巩膜睫状体光凝术是一种安全有效的治疗方法。
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