Podos S M, Kels B D, Moss A P, Ritch R, Anders M D
Trans Am Ophthalmol Soc. 1979;77:51-62.
Utilizing a continuous wave argon laser in a multiburn fashion, successful iridectomies were achieved in 42 of 45 phakic eyes with either acute or chronic angle-closure glaucoma. Five of the successful procedures required multiple sittings on different days or abandonment of the primary treatment site in favor of an alternate site to attain patency. Within the immediate postoperative period, ten eyes needed further treatment to eliminate moderate pigment proliferation at the perforation site. The procedure was performed on an outpatient basis under topical anesthesia, usually required less than one-half hour for completion, and resulted in only minimal complications. Therefore, CWAL iridectomy appears to present an alternative to surgical iridectomy for the definitive treatment of angle-closure glaucoma, although long-term evaluation of this modality of therapy is presently unavailable.
采用连续波氩激光进行多次烧灼，45例有晶状体眼的急慢性闭角型青光眼患者中，42例成功完成了虹膜切除术。其中5例成功手术需要在不同日期进行多次操作，或放弃原治疗部位而选择另一部位以实现通畅。术后短期内，10只眼需要进一步治疗以消除穿孔部位的中度色素增生。该手术在表面麻醉下门诊进行，通常不到半小时即可完成，且并发症极少。因此，连续波氩激光虹膜切除术似乎可为闭角型青光眼的确定性治疗提供手术虹膜切除术的替代方案，尽管目前尚无该治疗方式的长期评估结果。
