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连续氩激光小梁切开术

Trabeculotomy with continuous argon laser.

作者信息

Sutton G E, Christensen G R, Records R E

出版信息

Trans Ophthalmol Soc U K (1962). 1981;101(1):118-20.

PMID:6964216
Abstract

This study substantiates the theory that effective long-term laser treatment for glaucoma is possible in those patients with chronic non-obstructive phakic glaucoma. A common mechanism of glaucoma in these cases would appear to be some type of trabecular collapse. Correction of this trabecular defect may be accomplished with multiple small low-intensity argon laser burns symmetrically placed in the entire circumference of the meshwork. Conversely our histological data indicate that high-intensity burns result in the development of heavy fibrous tissue proliferating within the trabecular meshwork and Schlemm's canal which would appear to contribute to further filtration resistance.

摘要

本研究证实了这样一种理论,即对于慢性非阻塞性晶状体性青光眼患者,长期有效的激光治疗是可行的。在这些病例中,青光眼的一个常见机制似乎是某种类型的小梁塌陷。通过在小梁网整个周边对称地进行多次小剂量低强度氩激光烧灼,可以纠正这种小梁缺陷。相反,我们的组织学数据表明,高强度烧灼会导致小梁网和施莱姆管内大量纤维组织增生,这似乎会导致进一步的滤过阻力增加。

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