Q开关Nd:YAG激光与传统周边虹膜切除术的疗效观察对比

Clinical comparison observation of the Q-switching Nd:YAG laser and operation peripheral iridotomy

目的:比较Q开关Nd:YAG激光与手术周边虹膜切除术的临床疗效。方法:对行Nd:YAG激光周边虹膜切除术的108眼与传统周边虹膜切除术的78眼进行回顾性分析,比较术后眼压、视力、前房深度、并发症等情况。结果:随访6mo,两组术后眼压控制情况比较无显著差异性,术后视力激光治疗组优于手术组(P<0.05)。结论:Q开关Nd:YAG激光周边虹膜切除术操作简便安全,术后恢复快且经济,但不能完全取代手术周边虹膜切除术。

AIM：To compare the efficacy of Q-switching Nd：YAG laser and operation peripheral iridotomy.METHODS：The retrospective analysis involved 108 eyes of laser group and 78 eyes of surgery group,the intraocular pressure,vision,anterior chamber depth,operative complications were observed after operation.RESULTS：Six months after operation,the intraocular pressure control rate of two groups had no difference.The improvement of visual acuity of two groups had significant difference.The laser group are superior to surgery group（P0.05）.CONCLUSION：Q-switching Nd：YAG laser peripheral iridotomy can be handled easily,which is a safe and effective method for treatment of glaucoma,but cannot completely substitute the surgery of peripheral iridotomy.