钕钇铝石榴石激光房角手术治疗开角型青光眼的长期随访

Long-term follow-up of neodymium: YAG laser angle surgery for open-angle glaucoma.

作者信息

Del Priore L V, Robin A L, Pollack I P

机构信息

Glaucoma Service, Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205.

出版信息

Ophthalmology. 1988 Feb;95(2):277-81. doi: 10.1016/s0161-6420(88)33195-7.

DOI:10.1016/s0161-6420(88)33195-7

PMID:3173993

Abstract

Seventy-nine eyes (61 patients) with open-angle glaucoma and uncontrolled intraocular pressure (IOP) of 23 mmHg or more despite maximal tolerated medical therapy and prior argon laser trabeculoplasty (75 eyes) were treated with neodymium: YAG (Nd: YAG) laser angle surgery and followed for at least 1 year. Ten pulses of 10 mJ were applied to the midtrabecular meshwork over 40 degrees in the most visible portion of the angle. The IOP was controlled successfully (less than or equal to 22 mmHg) in 60 eyes (76%) 1 month after treatment and in 36 of 78 eyes (46%) 1 year after treatment. Long-term complications included two eyes with advanced glaucoma that lost central fixation despite good IOP control after treatment.

摘要

79只眼（61例患者）患有开角型青光眼，尽管接受了最大耐受量的药物治疗且之前进行了氩激光小梁成形术（75只眼），但眼压仍未得到控制，眼压在23 mmHg或更高，对这些患者进行了钕：钇铝石榴石（Nd：YAG）激光房角手术，并随访至少1年。在房角最明显的部分，以10 mJ的能量向小梁网中部40度范围发射10个脉冲。治疗后1个月，60只眼（76%）的眼压成功得到控制（小于或等于22 mmHg）；治疗后1年，78只眼中的36只眼（46%）眼压得到控制。长期并发症包括2只眼发展为晚期青光眼，尽管治疗后眼压控制良好，但仍失去了中心注视。