选择性激光小梁成形术治疗曲安奈德球周注射后眼压升高
Selective laser trabeculoplasty for elevated intraocular pressure following subtenon injection of triamcinolone acetonide.
作者信息
Yuki Kenya, Inoue Makoto, Shiba Daisuke, Kawamura Ryosuke, Ishida Susumu, Ohtake Yuichiro
机构信息
Department of Ophthalmology, Keio University School of Medicine.
出版信息
Clin Ophthalmol. 2010 Apr 26;4:247-9. doi: 10.2147/opth.s9318.
PURPOSE
To report on the efficacy of selective laser trabeculoplasty (SLT) for elevated intraocular pressure (IOP) following subtenon injection of triamcinolone acetonide.
METHOD
SLT was performed on four of 148 eyes in which IOP was elevated after a subtenon injection of triamcinolone acetonide and could not be maintained within normal limits by conventional medications. Postoperative IOP and relative reduction of IOP were evaluated.
RESULTS
IOP was reduced in three eyes to within the normal range without any medications six months after SLT alone, but trabeculotomy was performed on one eye. Percentage reduction in IOP after SLT was 21.6% at one month, 45.0% at three months, and 52.7% at nine months.
CONCLUSION
SLT may be effective in reducing elevated IOP following subtenon injection of triamcinolone acetonide and should be considered before glaucoma surgery.
目的
报告选择性激光小梁成形术（SLT）对曲安奈德球周注射后眼压升高的疗效。
方法
对148眼中因曲安奈德球周注射后眼压升高且常规药物无法将眼压维持在正常范围内的4只眼进行SLT治疗。评估术后眼压及眼压相对降低情况。
结果
仅行SLT治疗6个月后，3只眼眼压降至正常范围且无需任何药物治疗，但有1只眼进行了小梁切开术。SLT术后1个月眼压降低百分比为21.6%，3个月为45.0%，9个月为52.7%。
结论
SLT可能对降低曲安奈德球周注射后升高的眼压有效，在青光眼手术前应予以考虑。
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