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调Q钕钇铝石榴石激光虹膜切开术。便携式激光系统的现场试验。

Q-switched neodymium-YAG laser iridotomy. A field trial with a portable laser system.

作者信息

Robin A L, Arkell S, Gilbert S M, Goossens A A, Werner R P, Korshin O M

出版信息

Arch Ophthalmol. 1986 Apr;104(4):526-30. doi: 10.1001/archopht.1986.01050160082017.

DOI:10.1001/archopht.1986.01050160082017
PMID:3513746
Abstract

The efficacy of a small, portable, battery-operated, Q-switched neodymium-YAG laser with a slit-lamp delivery system was evaluated in a short-term pilot study. Iridotomies were created in 44 Eskimo eyes (23 patients) with occludable angles in Alaska's Kotzebue region. The laser was transported as regular baggage, was used in three villages (utilizing available facilities), and was operational within five minutes. Patent iridotomies were achieved in all eyes and with one pulse in 18 eyes (44%). Complications included transient bleeding from the iridotomy site in 23 eyes (52%), focal corneal opacities in 11 eyes (25%), and a transient immediate postoperative intraocular pressure elevation in nine eyes (20%). This appears to be the first portable laser system that can be used in frontier areas and underdeveloped nations to prophylactically treat pupillary-block glaucoma.

摘要

在一项短期试点研究中,对一种配备裂隙灯传输系统的小型、便携式、电池供电的调Q钕钇铝石榴石激光的疗效进行了评估。在阿拉斯加科策布地区对44只患有可闭角型青光眼的爱斯基摩人眼睛(23名患者)进行了虹膜切开术。该激光设备作为普通行李运输,在三个村庄(利用现有的设施)使用,并且在五分钟内即可投入使用。所有眼睛均成功制成了虹膜切开术,其中18只眼睛(44%)仅用一个脉冲就完成了。并发症包括23只眼睛(52%)的虹膜切开部位出现短暂出血、11只眼睛(25%)出现局灶性角膜混浊,以及9只眼睛(20%)术后眼压出现短暂的即刻升高。这似乎是首个可用于边境地区和不发达国家预防性治疗瞳孔阻滞性青光眼的便携式激光系统。

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Q-switched neodymium-YAG laser iridotomy. A field trial with a portable laser system.调Q钕钇铝石榴石激光虹膜切开术。便携式激光系统的现场试验。
Arch Ophthalmol. 1986 Apr;104(4):526-30. doi: 10.1001/archopht.1986.01050160082017.
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Arch Ophthalmol. 1987 Apr;105(4):476-81. doi: 10.1001/archopht.1987.01060040046029.

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