深层巩膜切除术后钕：钇铝石榴石激光房角穿刺的并发症
Complications of Neodymium:YAG laser goniopuncture after deep sclerectomy.
作者信息
Vuori Marja-Liisa
机构信息
Department of Ophthalmology, Turku University Hospital, Turku, Finland.
出版信息
Acta Ophthalmol Scand. 2003 Dec;81(6):573-6. doi: 10.1046/j.1600-0420.2003.0154.x.
PURPOSE
To study the complications of Neodymium:YAG (Nd:YAG) goniopuncture after deep sclerectomy with collagen implant (DSCI).
METHODS
All patients who underwent a Nd:YAG goniopuncture after a successful DSCI for primary open-angle glaucoma were included in a non-randomized clinical study.
RESULTS
Nd:YAG goniopuncture was performed in 31 patients. The mean time from surgery to goniopuncture was 3.2 +/- 3.2 months. The mean intraocular pressure (IOP) before goniopuncture was 32.0 +/- 10.8 mmHg (SD); the mean IOP 1-2 hours after goniopuncture was 16.5 +/- 6.3 mmHg. After a mean follow-up of 5.4 +/- 2.8 months, the mean IOP was 17.8 +/- 11.6 mmHg. Three patients had a spontaneous iris prolapse after Nd:YAG goniopuncture and consequently high IOP. No signs of severe hypotension were observed.
CONCLUSION
There are potentially serious complications relating to Nd:YAG goniopuncture after deep sclerectomy. However, further studies are needed to determine the safest time and level of IOP at which to perform Nd:YAG goniopuncture.
目的
研究胶原植入物辅助深层巩膜切除术（DSCI）后钕：钇铝石榴石（Nd：YAG）前房角穿刺术的并发症。
方法
所有因原发性开角型青光眼成功接受DSCI后进行Nd：YAG前房角穿刺术的患者均纳入一项非随机临床研究。
结果
31例患者接受了Nd：YAG前房角穿刺术。从手术到前房角穿刺术的平均时间为3.2±3.2个月。前房角穿刺术前平均眼压（IOP）为32.0±10.8 mmHg（标准差）；前房角穿刺术后1 - 2小时平均眼压为16.5±6.3 mmHg。平均随访5.4±2.8个月后，平均眼压为17.8±11.6 mmHg。3例患者在Nd：YAG前房角穿刺术后出现自发性虹膜脱垂，导致眼压升高。未观察到严重低血压的迹象。
结论
深层巩膜切除术后Nd：YAG前房角穿刺术可能存在严重并发症。然而，需要进一步研究以确定进行Nd：YAG前房角穿刺术的最安全时间和眼压水平。
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