Sohajda Zoltán, Káldi Ildikó, Kiss Magdolna, Facskó Andrea
Szemészeti Osztály, Kenézy Gyula Kórház-Rendelőintézet Debrecen, Bartók Béla u. 2-26., 4031.
Szemészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.
Orv Hetil. 2017 May;158(18):701-705. doi: 10.1556/650.2017.30754.
CO laser- assisted sclerectomy surgery (CLASS) can be used for the surgical treatment of open-angle glaucoma.
To introduce our results with CLASS.
We performed 21 CLASS operations using OT-134-IOPtiMate (IOPtima Ltd, Ramat-Gan, Israel). Patients were examined on the 1st day, and in the 1st, 3rd, 6th, 9th and 12th months postoperatively. We evaluated intraocular pressure (IOP), antiglaucomatous medication-use, visual acuity, complications.
Mean age was 65.6 yrs. Complete success (no hypotensive medication required to target IOP) was achieved in 61.1% (18 patients) at 6 months, whereas in 50% (10 patients) at 12 months. Qualified success (hypotensive medication required to target IOP) was achieved in 72.2% and in 70%, preoperative mean IOP was 29.2 ± 9.4 Hgmm, which falled to 17.7 ± 4.9 Hgmm and 17.3 ± 4.3 Hgmm, respectively. Antiglaucomatous medication use falled significantly from 2.90 ± 0.83 to 2.05 ± 1.46. Apart from 1 macroperforation, no serious complication occurred.
With CLASS it is possible to effectively lower intraocular pressure in open-angle glaucoma. Orv Hetil. 2017; 158(18): 701-705.
CO激光辅助巩膜切除术（CLASS）可用于开角型青光眼的手术治疗。
介绍我们应用CLASS的结果。
我们使用OT-134-IOPtiMate（以色列拉马特甘IOPtima有限公司）进行了21例CLASS手术。在术后第1天以及术后第1、3、6、9和12个月对患者进行检查。我们评估了眼压（IOP）、抗青光眼药物使用情况、视力和并发症。
平均年龄为65.6岁。6个月时61.1%（18例患者）取得完全成功（眼压达到目标值无需降压药物），而12个月时为50%（10例患者）。72.2%和70%取得合格成功（眼压达到目标值需要降压药物），术前平均眼压为29.2±9.4mmHg，分别降至17.7±4.9mmHg和17.3±4.3mmHg。抗青光眼药物的使用从2.90±0.83显著降至2.05±1.46。除1例大穿孔外，未发生严重并发症。
应用CLASS可有效降低开角型青光眼的眼压。《匈牙利医学周报》。2017年；158(18): 701 - 705。
