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[激光小梁成形术与开角型青光眼患者晶状体的状态]

[Laser trabeculoplasty and the status of the crystalline lens in open-angle glaucoma].

作者信息

Kazakova E L

出版信息

Vestn Oftalmol. 1989 Jan-Feb;105(1):10-3.

PMID:2718299
Abstract

The authors analyze the frequency of cataract progression in patients with open-angle glaucomas after laser trabeculoplasty. 132 patients (148 eyes) have been followed up for 1 to 6 yrs. A considerable deterioration of the vision acuity (by 0.4 and more) has been observed in 10 (6.8%) eyes; in this group of patients the vision acuity decrease on the involved eye has been 0.59 +/- 0.25, whereas on the other (control) eye, not exposed to laser trabeculoplasty, the vision acuity has decreased by 0.09 on an average. The vision acuity has deteriorated at the expense of the already developed cataract progression. This appears to be induced by laser trabeculoplasty. It is noteworthy, however, that the incidence rate of cataract progression after laser trabeculoplasty is much lower than after antiglaucoma surgery (6.68 vs. 30-80%). No cases of the development of a cataract in a transparent lens (a phenomenon observed after antiglaucoma surgery) have been recorded after laser trabeculoplasty.

摘要

作者分析了激光小梁成形术后开角型青光眼患者白内障进展的频率。132例患者(148只眼)接受了1至6年的随访。在10只(6.8%)眼中观察到视力显著下降(下降0.4及以上);在这组患者中,患眼的视力下降为0.59±0.25,而未接受激光小梁成形术的另一只(对照)眼的视力平均下降了0.09。视力下降是由已有的白内障进展所致。这似乎是由激光小梁成形术引起的。然而,值得注意的是,激光小梁成形术后白内障进展的发生率远低于抗青光眼手术后(6.68%对30 - 80%)。激光小梁成形术后未记录到透明晶状体发生白内障的情况(抗青光眼手术后可观察到这种现象)。

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