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新生血管性青光眼的房角光凝术

Goniophotocoagulation for neovascular glaucoma.

作者信息

Simmons R J, Dueker D K, Kimbrough R L, Aiello L M

出版信息

Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977 Jan-Feb;83(1):80-9.

PMID:561472
Abstract

A new treatment, goniophotocoagulation, for neovascularization of the anterior chamber angle has been applied with the argon laser to 21 eyes of 20 patients. Three of the eyes had neovascularization related to central retinal vein occlusion. In the other 18 eyes the neovascularization was related to diabetic retinopathy. A specific protocol has been followed since January 1973. The results so far indicate that closure of the angle and progression of the usual chain of pathologic events in neovascular glaucoma were prevented in 10 (77%) of the 13 eyes having an average follow-up of 22 months. We believe that goniophotocoagulation of the angle deserves more extensive, judicious, and carefully monitored clinical use. Our results suggest that this new technique is safe and reasonably effective in preventing progressive neovascularization of the angle, synechial closure, and severe nonvascular glaucoma.

摘要

一种用于前房角新生血管化的新治疗方法——房角光凝术,已使用氩激光应用于20例患者的21只眼睛。其中3只眼睛的新生血管化与视网膜中央静脉阻塞有关。在另外18只眼睛中,新生血管化与糖尿病性视网膜病变有关。自1973年1月起遵循了特定方案。目前的结果表明,在平均随访22个月的13只眼睛中,有10只(77%)的房角关闭以及新生血管性青光眼通常的一系列病理事件进展得到了预防。我们认为房角光凝术值得更广泛、审慎且仔细监测的临床应用。我们的结果表明,这项新技术在预防房角渐进性新生血管化、虹膜粘连闭合以及严重的非血管性青光眼方面是安全且相当有效的。

相似文献

1
Goniophotocoagulation for neovascular glaucoma.新生血管性青光眼的房角光凝术
Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1977 Jan-Feb;83(1):80-9.
2
[Photocoagulation in diabetic rubeosis iridis and neovascular glaucoma].[糖尿病性虹膜红变和新生血管性青光眼中的光凝治疗]
Klin Monbl Augenheilkd. 1987 Jan;190(1):11-6. doi: 10.1055/s-2008-1050319.
3
[Results of argon laser treatment of 100 eyes with open-angle glaucoma (trabeculoplasty, trabeculoretraction)].[氩激光治疗100例开角型青光眼(小梁成形术、小梁退缩术)的结果]
J Fr Ophtalmol. 1983;6(8-9):661-70.
4
[Results of sclera-laminating goniotrephination in neovascular glaucoma].[巩膜层间前房角穿刺术治疗新生血管性青光眼的结果]
Klin Monbl Augenheilkd. 1983 Aug;183(2):96-100. doi: 10.1055/s-2008-1054881.
5
Carbon dioxide laser trabeculostomy for the treatment of neovascular glaucoma.二氧化碳激光小梁切除术治疗新生血管性青光眼。
Trans Am Ophthalmol Soc. 1982;80:262-87.
6
[Argon laser iridotomy in neovascular glaucoma].
Acta Med Croatica. 2006;60(2):105-8.
7
Long-term results of pars plana vitrectomy combined with filtering surgery for neovascular glaucoma.玻璃体切割联合滤过手术治疗新生血管性青光眼的长期疗效
Ophthalmic Surg Lasers Imaging. 2005 May-Jun;36(3):211-6.
8
The role of gonio-photocoagulation in neovascularization of the anterior chamber angle.房角光凝在房角新生血管形成中的作用。
Ophthalmology. 1980 Jan;87(1):79-82. doi: 10.1016/s0161-6420(80)35284-6.
9
Argon laser gonioplasty with trabeculoplasty for chronic angle-closure glaucoma.氩激光前房角成形术联合小梁成形术治疗慢性闭角型青光眼
Ann Ophthalmol. 1987 Nov;19(11):419-22.
10
Combined phacoemulsification and goniosynechialysis for uncontrolled chronic angle-closure glaucoma after acute angle-closure glaucoma.白内障超声乳化吸除联合房角粘连分离术治疗急性闭角型青光眼后失控的慢性闭角型青光眼
Ophthalmology. 1999 Apr;106(4):669-74; discussion 674-5. doi: 10.1016/S0161-6420(99)90149-5.

引用本文的文献

1
An approach to the management of neovascularization of the iris and secondary glaucoma.虹膜新生血管化及继发性青光眼的治疗方法。
Trans Am Ophthalmol Soc. 1980;78:107-22.