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[睫状体透热凝固术:对青光眼治疗有效吗?]

[Cyclodiathermy: is it effective in the treatment of glaucoma?].

作者信息

Waked N, Hamard H, Godde-Jolly D, Ruellan Y M, Roussat B

机构信息

C.H.N.O. des Quinze-Vingts, Paris.

出版信息

J Fr Ophtalmol. 1990;13(3):159-64.

PMID:1699990
Abstract

The authors describe the non penetrating technique of cyclodiathermy in the treatment of different types of glaucoma and publish the results and the complications of the application of this technique on thirty three eyes among their patients. These eyes included congenital glaucoma (8 eyes), aphakic glaucoma (5 eyes), after silicone surgery (5 eyes), neovascular glaucoma (4 eyes), traumatic glaucoma (4 eyes), secondary glaucoma (3 eyes), Sturge-Weber-Krabbe (2 eyes) and open angle glaucoma (2 eyes). Their study with a mean follow up of 2.5 years shows an overall success rate of 60%. The success is defined as an ocular tension less than or equal to 22 mmHg in the absence of serious complications. All the encountered complications are mentioned. Phtysis occurred in not more than 3% of cases (1 eye). They establish a comparison with the published results and complications of the other cyclodestructive procedures: Sonocare, transcleral laser Yag, transcleral laser Ruby and cyclocryotherapy. This comparison does not prove the superiority of these other procedures with regard to the non penetrating cyclodiathermy. They conclude that this non penetrating cyclodiathermy is a non expensive procedure which still have its good therapeutic value.

摘要

作者描述了睫状体透热凝固术的非穿透技术在不同类型青光眼治疗中的应用,并公布了该技术在其患者33只眼中应用的结果及并发症。这些眼睛包括先天性青光眼(8只眼)、无晶状体性青光眼(5只眼)、硅胶植入术后(5只眼)、新生血管性青光眼(4只眼)、外伤性青光眼(4只眼)、继发性青光眼(3只眼)、斯特奇-韦伯-克拉贝综合征(2只眼)和开角型青光眼(2只眼)。他们平均随访2.5年的研究显示总体成功率为60%。成功定义为在无严重并发症的情况下眼压小于或等于22 mmHg。文中提及了所有遇到的并发症。眼球萎缩发生率不超过3%(1只眼)。他们将研究结果与已发表的其他睫状体破坏手术(如超声睫状体成形术、经巩膜YAG激光、经巩膜红宝石激光和睫状体冷冻疗法)的结果及并发症进行了比较。该比较并未证明这些其他手术相对于非穿透性睫状体透热凝固术具有优越性。他们得出结论,这种非穿透性睫状体透热凝固术是一种成本不高的手术,仍具有良好的治疗价值。

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