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慢性开角型青光眼氩激光小梁成形术后的眼压及视野缺损

Intraocular pressure and visual field defects after argon laser trabeculoplasty in chronic open-angle glaucoma.

作者信息

Schultz J S, Werner E B, Krupin T, Bishop K I, Koelle J

出版信息

Ophthalmology. 1987 May;94(5):553-7. doi: 10.1016/s0161-6420(87)33412-8.

DOI:10.1016/s0161-6420(87)33412-8
PMID:3601371
Abstract

Nineteen patients undergoing argon laser trabeculoplasty for open-angle glaucoma were studied prospectively. All patients had glaucomatous visual field defects with inadequate medical control of intraocular pressure (IOP) before laser treatment. All patients had two automated visual fields immediately before laser treatment. They also had follow-up automated perimetry at 1, 4, 8, and 12 months posttreatment. The serial visual fields were compared using a one-way analysis of variance and trend analysis. After the laser trabeculoplasty, six patients showed visual field improvement, eight showed no change, and five showed progressive visual field deterioration. Patients with little fluctuation of IOP measurements after laser treatment had a better prognosis for visual field retention. The mean IOP level, however, was a poor predictor of visual field progression. Patients with more extensive visual field damage before laser treatment did not do worse than patients with less extensive visual field loss.

摘要

对19例接受氩激光小梁成形术治疗开角型青光眼的患者进行了前瞻性研究。所有患者在激光治疗前均有青光眼性视野缺损且眼压(IOP)的药物控制不佳。所有患者在激光治疗前均进行了两次自动视野检查。他们还在治疗后1、4、8和12个月进行了随访自动视野检查。使用单向方差分析和趋势分析对系列视野进行比较。氩激光小梁成形术后,6例患者视野改善,8例无变化,5例视野进行性恶化。激光治疗后眼压测量波动较小的患者视野保留的预后较好。然而,平均眼压水平对视野进展的预测性较差。激光治疗前视野损害范围较大的患者并不比视野损失范围较小的患者情况更糟。

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Intraocular pressure and visual field defects after argon laser trabeculoplasty in chronic open-angle glaucoma.慢性开角型青光眼氩激光小梁成形术后的眼压及视野缺损
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引用本文的文献

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Lack of Visual Field Improvement After Initiation of Intraocular Pressure Reducing Treatment in the Early Manifest Glaucoma Trial.早期显性青光眼试验中眼压降低治疗开始后视野无改善情况
Invest Ophthalmol Vis Sci. 2016 Oct 1;57(13):5611-5615. doi: 10.1167/iovs.16-19389.
2
The relationship between intraocular pressure and visual field progression in glaucoma.
Graefes Arch Clin Exp Ophthalmol. 1992;230(6):521-6. doi: 10.1007/BF00181772.