Fernandez-Bahamonde J L
Department of Ophthalmology, University of Puerto Rico School of Medicine, San Juan.
Ann Ophthalmol. 1991 Sep;23(9):346-8.
During the past decade, laser iridotomy has replaced surgery as first-line treatment in angle-closure glaucoma. Its simplicity, fewer and less severe complications, and speedy recovery was responsible for this. Usually, the more common side effects of laser iridotomy are either preventable or easily treatable. Reported lens changes are limited to localized nonprogressive opacities and an isolated case of lens dislocation. We report the rare instance of lens rupture after a neodymium: yttrium aluminum garnet laser iridotomy attempt. Proper patient selection, good techniques with cautious use of laser energy, and meticulous attention to detail should prevent this complication.
在过去十年中，激光虹膜切开术已取代手术成为闭角型青光眼的一线治疗方法。其操作简单、并发症较少且严重程度较低以及恢复迅速，造就了这种情况。通常，激光虹膜切开术较常见的副作用要么是可预防的，要么易于治疗。报告的晶状体改变仅限于局限性非进行性混浊以及一例孤立的晶状体脱位病例。我们报告了一例在尝试钕：钇铝石榴石激光虹膜切开术后发生晶状体破裂的罕见病例。适当选择患者、谨慎使用激光能量的良好技术以及对细节的精心关注应可预防这种并发症。
