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[青光眼的原发性激光小梁成形术。一种节省资源的治疗方法]

[Primary laser trabeculoplasty in glaucoma. A resource saving treatment].

作者信息

Odberg T

机构信息

Oyeavdelingen Hamar sjukehus.

出版信息

Tidsskr Nor Laegeforen. 1990 Nov 30;110(29):3729-30.

PMID:2274938
Abstract

During the last ten years argon laser trabeculoplasty has been shown to be a very useful tool in the treatment of glaucoma when medical therapy has failed. In the present study laser was used as primary therapy in 27 patients with newly detected glaucoma. Pretreatment with topical timolol gave an immediate pressure drop in all eyes, and the dreaded acute pressure rise after laser treatment was avoided. Upon follow-up examination after two years, more than half the patients had an intraocular pressure below 21 mm Hg without additional therapy. Primary laser trabeculoplasty was found to be a safe and time-saving procedure. Expenses and complications associated with medical therapy are reduced. Many patients may avoid lifelong daily instillation of eye drops.

摘要

在过去十年中,氩激光小梁成形术已被证明是在药物治疗失败时治疗青光眼的一种非常有用的工具。在本研究中,激光被用作27例新诊断青光眼患者的初始治疗方法。术前使用局部噻吗洛尔可使所有患眼眼压立即下降,并且避免了激光治疗后可怕的急性眼压升高。在两年后的随访检查中,超过一半的患者在无需额外治疗的情况下眼压低于21 mmHg。原发性激光小梁成形术被发现是一种安全且节省时间的手术。与药物治疗相关的费用和并发症减少。许多患者可能避免终身每日滴眼药水。

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