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急性闭角型青光眼:患眼YAG激光虹膜切开术的相对失败及影响预后的因素

Acute angle closure glaucoma: relative failure of YAG iridotomy in affected eyes and factors influencing outcome.

作者信息

Buckley S A, Reeves B, Burdon M, Moorman C, Wheatcroft S, Edelsten C, Benjamin L

机构信息

Oxford Eye Hospital.

出版信息

Br J Ophthalmol. 1994 Jul;78(7):529-33. doi: 10.1136/bjo.78.7.529.

DOI:10.1136/bjo.78.7.529
PMID:7918262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC504856/
Abstract

The treatment of acute angle closure glaucoma has been influenced by the development of the YAG laser and its ability to perform iridotomies as an outpatient procedure. In this retrospective study the results of YAG iridotomy were compared with surgical peripheral iridectomy. When compared with surgical peripheral iridectomy patients, YAG iridotomy patients were at greater risk of proceeding to further surgery, with this risk being significantly associated with increasing duration of attack. The authors suggest that in selected cases, surgical iridectomy should be given consideration as a primary procedure.

摘要

YAG激光的发展及其作为门诊手术进行虹膜切开术的能力,对急性闭角型青光眼的治疗产生了影响。在这项回顾性研究中,将YAG虹膜切开术的结果与手术周边虹膜切除术进行了比较。与接受手术周边虹膜切除术的患者相比,接受YAG虹膜切开术的患者进行进一步手术的风险更高,且这种风险与发作持续时间的增加显著相关。作者建议,在某些特定情况下,应考虑将手术虹膜切除术作为首选手术。

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本文引用的文献

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Narrow-angle glaucoma.闭角型青光眼
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How large must an iridotomy be?虹膜切开术的切口必须多大?
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[Surgical iridectomy following acute angle-closure glaucoma. A retrospective study of 107 patients].[急性闭角型青光眼术后的手术性虹膜切除术。对107例患者的回顾性研究]
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A randomised, prospective comparison of Nd:YAG laser iridotomy and operative peripheral iridectomy in fellow eyes.对健眼中钕钇铝石榴石激光虹膜切开术与手术周边虹膜切除术进行的随机前瞻性比较。
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