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青光眼的激光小梁成形术。十年评估。

Laser trabeculoplasty in glaucoma. Ten-year evaluation.

作者信息

Ticho U, Nesher R

机构信息

Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel.

出版信息

Arch Ophthalmol. 1989 Jun;107(6):844-6. doi: 10.1001/archopht.1989.01070010866031.

DOI:10.1001/archopht.1989.01070010866031
PMID:2730404
Abstract

Argon laser trabeculoplasty was evaluated in 134 eyes of 94 patients with glaucoma, over a follow-up period of three to ten years. Success was defined by the patient having intraocular pressures (IOPs) below 20 mm Hg under the prelaser medical regimen, or taking less medication, and having no evidence of progressive field loss. The overall success rate by three years was 70%; it decreased to 55% after six years and remained at this level thereafter. Altogether, there were 26 eyes that had controlled glaucoma for six to ten years. The favorable factors for success were age over 60 years (82%), pseudoexfoliation glaucoma (75%), and lower baseline IOPs (69.3%). Argon laser trabeculoplasty was found to be a useful means of treatment in low tension glaucoma.

摘要

在94例青光眼患者的134只眼中进行了氩激光小梁成形术,随访期为3至10年。成功的定义为患者在激光治疗前的药物治疗方案下眼压低于20 mmHg,或用药减少,且无视野进行性丧失的证据。三年时的总体成功率为70%;六年时降至55%,此后一直维持在这一水平。总共有26只眼的青光眼得到了6至10年的控制。成功的有利因素包括年龄超过60岁(82%)、假性剥脱性青光眼(75%)和较低的基线眼压(69.3%)。氩激光小梁成形术被发现是治疗低眼压性青光眼的一种有效方法。

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