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.
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。
相似文献
1
Acute angle closure glaucoma: relative failure of YAG iridotomy in affected eyes and factors influencing outcome.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
Br J Ophthalmol. 1994 Jul;78(7):529-33. doi: 10.1136/bjo.78.7.529.
2
[Acute angle-closure glaucoma despite previous Nd:YAG laser iridotomy: a report on 13 cases].[既往接受过钕钇铝石榴石激光虹膜切开术仍发生急性闭角型青光眼：13例报告]
Ophthalmologe. 2003 Oct;100(10):832-5. doi: 10.1007/s00347-003-0805-3.
3
Mid-term follow-up of Nd:YAG laser iridotomy in Asian eyes.亚洲人眼中钕钇铝石榴石激光虹膜切开术的中期随访
Ophthalmic Surg Lasers Imaging. 2003 Jul-Aug;34(4):291-8.
4
[Laser contribution in angle closure glaucoma].[激光在闭角型青光眼中的作用]
Tunis Med. 2008 Jun;86(6):564-6.
5
The long-term effect of Nd:YAG laser iridotomy on intraocular pressure in Taiwanese eyes with primary angle-closure glaucoma.钕钇铝石榴石激光虹膜切开术对台湾原发性闭角型青光眼患者眼压的长期影响。
J Chin Med Assoc. 2008 Jun;71(6):300-4. doi: 10.1016/S1726-4901(08)70126-6.
6
Early intraocular pressure change after peripheral iridotomy with ultralow fluence pattern scanning laser and Nd:YAG laser in primary angle-closure suspect: Kowloon East Pattern Scanning Laser Study Report No. 3.超低能量模式扫描激光与Nd:YAG激光周边虹膜切开术后原发性闭角型青光眼可疑患者的早期眼压变化：九龙东模式扫描激光研究报告第3号
Graefes Arch Clin Exp Ophthalmol. 2018 Feb;256(2):363-369. doi: 10.1007/s00417-017-3860-1. Epub 2017 Dec 7.
7
Outcomes of primary angle closure glaucoma management.原发性闭角型青光眼的治疗效果。
J Pak Med Assoc. 2011 Jul;61(7):636-9.
8
[Thermal photodisruptive laser iridotomy. A retrospective long-term study].[热光破坏激光虹膜切开术。一项回顾性长期研究]
Klin Monbl Augenheilkd. 1995 Jul;207(1):22-8. doi: 10.1055/s-2008-1035344.
9
Neodymium:YAG laser peripheral iridotomy: cause of a visually incapacitating cataract?钕：钇铝石榴石激光周边虹膜切开术：导致视力丧失性白内障的原因？
Ophthalmic Surg Lasers Imaging. 2006 Jul-Aug;37(4):330-2. doi: 10.3928/15428877-20060701-14.
10
Does high-energy Neodymium YAG peripheral iridotomy cause acute posterior subcapsular cataract?
Clin Exp Ophthalmol. 2011 Jan;39(1):87-8. doi: 10.1111/j.1442-9071.2010.02382.x.
引用本文的文献
1
Phacoemulsification and Visco-synechiolysis With or Without Trabeculectomy Following Initial Management of Acute Primary Angle Closure: A Comparative Study.急性原发性闭角型青光眼初始治疗后行白内障超声乳化吸除联合粘连松解术（伴或不伴小梁切除术）的对比研究
J Ophthalmic Vis Res. 2025 May 19;20. doi: 10.18502/jovr.v20.15048. eCollection 2025.
2
Long-term prognosis of acute primary angle closure in an east asian cohort.东亚队列中急性原发性闭角型青光眼的长期预后。
Jpn J Ophthalmol. 2024 Jul;68(4):302-310. doi: 10.1007/s10384-024-01065-3. Epub 2024 May 13.
3
Outcomes of trabeculectomy in eyes with refractory acute primary angle-closure in Indian eyes.印度眼难治性急性原发性闭角型青光眼小梁切除术的疗效。
Indian J Ophthalmol. 2022 Feb;70(2):580-584. doi: 10.4103/ijo.IJO_1065_21.
4
Acute Closed-Angle Glaucoma-an Ophthalmological Emergency.急性闭角型青光眼——一种眼科急症
Dtsch Arztebl Int. 2021 Nov 12;118(Forthcoming):771-80. doi: 10.3238/arztebl.m2021.0264.
5
Acute primary angle closure-treatment strategies, evidences and economical considerations.急性原发性闭角型青光眼的治疗策略、证据与经济考量。
Eye (Lond). 2019 Jan;33(1):110-119. doi: 10.1038/s41433-018-0278-x. Epub 2018 Nov 22.
6
Small eye - a small stump which can challenge and tilt a great surgery.小眼症——一个可能对大型手术构成挑战并使其陷入困境的小残端。
Rom J Ophthalmol. 2016 Jul-Sep;60(3):138-144.
7
Early phacoemulsification in patients with acute primary angle closure.急性原发性闭角型青光眼患者的早期超声乳化术
J Curr Ophthalmol. 2016 Jan 12;27(3-4):70-5. doi: 10.1016/j.joco.2015.12.001. eCollection 2015 Sep-Dec.
8
Long-term outcomes after acute primary angle closure in a White Caucasian population.白种人群急性原发性闭角型青光眼的长期预后
BMC Ophthalmol. 2015 Aug 19;15:108. doi: 10.1186/s12886-015-0100-5.
9
Diurnal intraocular pressure changes in eyes affected with acute primary angle closure and fellow eyes after laser peripheral iridotomy.急性原发性闭角型青光眼患眼及激光周边虹膜切开术后对侧眼的昼夜眼压变化
Jpn J Ophthalmol. 2015 Sep;59(5):318-24. doi: 10.1007/s10384-015-0399-8. Epub 2015 Aug 4.
10
Diode laser transscleral cyclophotocoagulation followed by phacotrabeculectomy on medically unresponsive acute primary angle closure eyes: the long-term result.经药物治疗无效的急性原发性闭角型青光眼行二极管激光经巩膜睫状体光凝联合白内障超声乳化抽吸术小梁切除术：长期疗效。
BMC Ophthalmol. 2014 Mar 10;14:26. doi: 10.1186/1471-2415-14-26.
本文引用的文献
1
Narrow-angle glaucoma.闭角型青光眼
AMA Arch Ophthalmol. 1952 Jun;47(6):695-716. doi: 10.1001/archopht.1952.01700030714001.
2
Acute glaucoma: results of treatment by bilateral simultaneous iridectomy, now without admission to hospital.急性青光眼：双侧同时虹膜切除术的治疗结果，现无需住院。
Br J Ophthalmol. 1983 Jun;67(6):367-71. doi: 10.1136/bjo.67.6.367.
3
Pressure-dependent changes in structures of the aqueous outflow system of human and monkey eyes.人类和猴眼房水流出系统结构的压力依赖性变化。
Am J Ophthalmol. 1973 Mar;75(3):365-83. doi: 10.1016/0002-9394(73)91145-8.
4
Long-term outcome of primary acute angle-closure glaucoma.原发性急性闭角型青光眼的长期预后
Br J Ophthalmol. 1985 Apr;69(4):261-2. doi: 10.1136/bjo.69.4.261.
5
Sector iridectomy in the management of prolonged attacks of acute congestive glaucoma.周边虹膜切除术治疗急性充血性青光眼的持续性发作
Ann Ophthalmol. 1987 Sep;19(9):340-2, 346.
6
Efficacy of Nd-YAG laser iridotomies in acute angle closure glaucoma.钕钇铝石榴石激光虹膜切开术治疗急性闭角型青光眼的疗效
Br J Ophthalmol. 1989 Mar;73(3):182-5. doi: 10.1136/bjo.73.3.182.
7
How large must an iridotomy be?虹膜切开术的切口必须多大？
Br J Ophthalmol. 1990 Oct;74(10):583-8. doi: 10.1136/bjo.74.10.583.
8
[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]
Fortschr Ophthalmol. 1990;87(5):449-52.
9
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。
Eye (Lond). 1991;5 ( Pt 3):315-21. doi: 10.1038/eye.1991.50.
10
Optic nerve head blood speed as a function of age in normal human subjects.正常人类受试者中视神经乳头血流速度与年龄的关系。
Invest Ophthalmol Vis Sci. 1991 Dec;32(13):3263-72.
Zotero 插件