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[睫状体冷凝术的实验研究及其在青光眼患者中的应用]

[An experimental study of cyclocryocautery and its application on glaucoma patients].

作者信息

Wang G Q

机构信息

Department of Ophthalmology, Teaching Hospital of Qingdao Medical College, Shandong Province.

出版信息

Zhonghua Yan Ke Za Zhi. 1993 Jul;29(4):221-3.

PMID:8243194
Abstract

Cyclocryocautery of different time duration was done on 52 rabbit eyes with the Syncron Optikon CO2 cryocoagulator. Postoperative studies of the ciliary body by light and electron microscopy and enzymatic histochemical analysis at various intervals revealed morphologic and metabolic changes in the epithelial cells that resulted in diminished aqueous humor formation and lowered intraocular pressure. 50 cases of glaucoma patients (54 eyes) were treated with cyclocryotherapy and followed up over 6 months, with a success rate of 72% in the advanced refractory patients and the pain was relieved in 85%. 8 of the ineffective eyes were performed additional cyclocryotherapy under a scleral flap, with good results in 5 eyes.

摘要

使用同步Optikon二氧化碳冷冻治疗仪对52只兔眼进行了不同时长的睫状体冷冻术。术后在不同时间间隔通过光学显微镜和电子显微镜对睫状体进行研究,并进行酶组织化学分析,结果显示上皮细胞出现形态和代谢变化,导致房水生成减少和眼压降低。对50例青光眼患者(54只眼)进行了睫状体冷冻治疗,并随访6个月以上,晚期难治性患者的成功率为72%,85%的患者疼痛得到缓解。8只无效眼在巩膜瓣下再次进行睫状体冷冻治疗,5只眼效果良好。

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