Winkler N F K, Funk J
University Hospital Zurich, Division of Ophthalmology, Zurich, Switzerland.
Klin Monbl Augenheilkd. 2013 Apr;230(4):353-7. doi: 10.1055/s-0032-1328359. Epub 2013 Apr 29.
The gold standard of surgical interventions in medically uncontrolled glaucoma is trabeculectomy. Cyclophotocoagulation is often performed only as a secondary/tertiary surgery. Since trabeculectomy demands a high degree of postsurgical compliance to achieve satisfying results, some patients do not qualify for trabeculectomy.
During cyclophotocoagulation, the ciliary processes were coagulated using a transscleral diode laser. 49 eyes of 47 patients (25 women and 22 men) were included in our study. Patients were regularly followed up for 24 months. During follow-up, IOP, best corrected visual acuity and number of antiglaucoma drugs were recorded.
The mean age was 69.27 ± 14.45 years. The diagnosis was open-angle glaucoma in 15 eyes, pseudoexfoliative glaucoma in 12 eyes, secondary rubeotic glaucoma in 7 eyes and secondary glaucoma without further specification in 15 eyes. On average, cyclophotocoagulation reduced intraocular pressure by 14.45 ± 11.77 mmHg (-42.7%, p < 0.001). Medication could be reduced by 1.31 ± 1.27 (-52%, p < 0.001). On average, visual acuity deteriorated by 0.383 LogMAR (± 0.848, p = 0.004).
For selected glaucoma patients, cyclophotocoagulation could be an option as primary surgical intervention to lower intraocular pressure.
药物治疗无法控制的青光眼手术干预的金标准是小梁切除术。睫状体光凝术通常仅作为二级/三级手术进行。由于小梁切除术需要高度的术后依从性才能取得满意的效果，一些患者不符合小梁切除术的条件。
在睫状体光凝术中，使用经巩膜二极管激光凝固睫状体。我们的研究纳入了47例患者（25名女性和22名男性）的49只眼。对患者进行了为期24个月的定期随访。随访期间，记录眼压、最佳矫正视力和抗青光眼药物的使用数量。
平均年龄为69.27±14.45岁。诊断为开角型青光眼15眼，剥脱性青光眼12眼，继发性新生血管性青光眼7眼，未进一步明确的继发性青光眼15眼。平均而言，睫状体光凝术使眼压降低了14.45±11.77 mmHg（-42.7%，p<0.001）。药物使用量可减少1.31±1.27（-52%，p<0.001）。平均而言，视力下降了0.383 LogMAR（±0.848，p = 0.004）。
对于选定的青光眼患者，睫状体光凝术可作为降低眼压的主要手术干预选择。
