Takenaka Y, Yamamoto T, Shirato S
Department of Ophthalmology, Tokyo University School of Medicine, Japan.
Jpn J Ophthalmol. 1987;31(3):483-8.
Argon laser trabeculoplasty (ALT) with 25 burn spots over the inferotemporal quadrant of the angle circumference was carried out in 71 eyes of 55 patients with open-angle glaucoma where maximum tolerable medication failed to control the intraocular pressure (IOP). Eighteen eyes underwent a second treatment, over the inferonasal quadrant. The overall success rate of the postoperative IOP control below 20 mmHg with continued medication was analyzed by means of a life-table method. It was 68 +/- 8% after 15 months. One-quadrant ALT gave approximately the same IOP control rate with less complications when compared to the results of the standard 180-degree ALT.
对55例开角型青光眼患者的71只眼进行了氩激光小梁成形术(ALT),在房角圆周的颞下象限进行25个烧灼点治疗,这些患者使用最大耐受剂量药物仍无法控制眼压(IOP)。18只眼在鼻下象限接受了第二次治疗。采用寿命表法分析了术后使用药物使眼压控制在20 mmHg以下的总体成功率。15个月后成功率为68±8%。与标准的180度ALT结果相比,单象限ALT在眼压控制率大致相同的情况下并发症更少。