[激光在闭角型青光眼中的作用]
[Laser contribution in angle closure glaucoma].
作者信息
El Afrit Mohamed Ali, Trojet Sonia, Mazlout Héla, Ali Sonia Belhaj, Kammoun Héla, Hamdouni Malek, Kraiem Abdelafidh
机构信息
Service d'Ophtalmologie, Hôpital Habib Thameur, Tunis.
出版信息
Tunis Med. 2008 Jun;86(6):564-6.
BACKGROUND
A better understanding of angle-closure glaucoma mechanisms is necessary to indicate the appropriate treatment.
AIM
the aim of our study is to discuss the laser indication in various type of angle-closure glaucoma.
METHODS
The study investigate 25 eyes of 22 patients who had an angle-closure glaucoma. The mechanisms are an anterior chamber angle blockage in 19 eyes, a plateau iris structure in 4 eyes and a nanophthalmos in 2 eyes.
RESULTS
Laser peripheral iridotomy is the most used technic; it was practised in 19 eyes. Argon laser iridoplasty was practised in 4 cases of plateau iris structure and in 2 patients who had a residual angle closure with a functional iridotomy.
CONCLUSION
Laser is an effective alternative in the treatment of angle-closure glaucoma and can alleviate the need for high-risk filtering surgery.
背景
更好地理解闭角型青光眼的机制对于选择合适的治疗方法至关重要。
目的
我们研究的目的是探讨不同类型闭角型青光眼的激光治疗指征。
方法
该研究调查了22例闭角型青光眼患者的25只眼。其机制包括19只眼前房角阻塞、4只眼的高褶虹膜结构和2只眼的小眼球。
结果
激光周边虹膜切开术是最常用的技术；19只眼实施了该手术。氩激光虹膜成形术用于4例高褶虹膜结构患者以及2例功能性虹膜切开术后仍有残余房角关闭的患者。
结论
激光是治疗闭角型青光眼的有效替代方法，可减少高风险滤过手术的需求。
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