Vogel M, Scheurer G, Neu W, Dressel M, Gerhardt H
Abteilung Augenheilkunde, Univ. -Augenklinik Göttengen.
Klin Monbl Augenheilkd. 1990 Sep;197(3):250-3. doi: 10.1055/s-2008-1046278.
In an experimental investigation we examined the possibility to create an open pathway between the anterior chamber and Schlemm's canal by excimer laser ablation of the trabecualr meshwork (AT) in enucleated eyes. A quartzfiber was directed through the anterior chamber to the opposite chamber angle. With an energy of 0.3-1.5 mJ and wavelengths of 248 and 308 nm pores were easily made into the trabecular meshwork leading to a direct connection between the anterior chamber and Schlemm's canal. This result was confirmed by histologic examination of the globes. The trabecular meshwork has disappeared completely. The surrounding tissue reveals only minimal thermal effects due to the laser burns. With the same method cyclodialysis and basal iridectomy may be performed. The operation is simple and effects can be placed with great accuracy.
在一项实验研究中,我们检查了通过准分子激光消融摘除眼球小梁网(AT)在眼前房和施莱姆管之间建立开放通道的可能性。将一根石英纤维穿过前房引至对侧房角。使用能量为0.3 - 1.5 mJ、波长为248和308 nm的激光,很容易在小梁网中形成小孔,从而使前房与施莱姆管直接相连。眼球的组织学检查证实了这一结果。小梁网已完全消失。由于激光烧灼,周围组织仅显示出极小的热效应。采用相同方法可进行睫状体分离术和周边虹膜切除术。该手术操作简单,效果定位精准。