Kim Chan Y, Hong Young J, Seong Gong J, Koh Hyoung J, Kim Sung S
Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, South Korea.
J Cataract Refract Surg. 2002 May;28(5):900-2. doi: 10.1016/s0886-3350(01)01307-4.
Neodymium:YAG (Nd:YAG) goniopuncture is an efficient and safe treatment for low filtration through the trabeculo-Descemet's membrane after deep sclerectomy with a collagen implant (DSCI). The only reported complication of this procedure is choroidal detachment. However, we found an iris synechia in a patient whose intraocular pressure (IOP) was elevated again 1 month after Nd:YAG goniopuncture. Synechiolysis and peripheral iridectomy with Nd:YAG and argon lasers effectively removed the iris synechia, and IOP immediately dropped to the normal range. We believe that iris synechia is a potential complication that may cause elevated IOP after laser goniopuncture in patients having DSCI.
钇铝石榴石（Nd:YAG）前房角穿刺术是一种有效且安全的治疗方法，用于治疗在植入胶原植入物的深层巩膜切除术（DSCI）后小梁-Descemet膜滤过率低的情况。该手术唯一报告的并发症是脉络膜脱离。然而，我们在一名患者中发现了虹膜粘连，该患者在Nd:YAG前房角穿刺术后1个月眼压再次升高。使用Nd:YAG和氩激光进行虹膜粘连分离术和周边虹膜切除术有效地消除了虹膜粘连，眼压立即降至正常范围。我们认为虹膜粘连是一种潜在的并发症，可能导致接受DSCI的患者在激光前房角穿刺术后眼压升高。
