NVG经巩膜睫状体光凝联合布洛芬口服的疗效

Clinical effect of trans-scleral diode laser cyclophotocoagulation and ibuprofen oral on neovascular glaucoma

目的:分析晚期新生血管性青光眼(neovascular glaucoma,NVG)以半导体激光经巩膜睫状体光凝术后眼痛症状的成因及联合布洛芬口服后对减轻眼痛症状及降低眼压的效果。方法:NVG患者30例30眼以半导体激光经巩膜的睫状体光凝联合布洛芬口服。术后对眼压及疼痛情况随访6mo以上。结果:术前平均眼压56.23±21.62mmHg,术后1d平均眼压31.36±10.01mmHg(t=8.099,P=0.001)。术前轻度疼痛3眼,重度疼痛18眼,剧痛9眼;术后24h内无痛14眼,轻度疼痛9眼,重度疼痛7眼;术后72h内无痛21眼,轻度疼痛8眼,重度疼痛1眼。结论:晚期NVG半导体激光经巩膜睫状体光凝联合布洛芬口服可以有效地减轻术后早期疼痛及降低眼压。

AIM：To evaluate the main reason of the post operative pain of trans-scleral diode laser cyclophotocoagulation and the clinical effects of combined treatment of trans-scleral diode laser cyclophotocoagulation and ibuprofen oral on late neovascular glaucoma（NVG）.METHODS：Totally 30 cases（30 eyes） of NVG accepted trans-scleral diode laser cyclophotocoagulation and ibuprofen oral.All cases were followed up for more than 6 months about intraocular pressure（IOP） and early postoperative pain.RESULTS：The average preoperative IOP was 56.23±21.62mmHg,and the average IOP within 24 hours after the manipulation was 31.36±10.01mmHg（t=8.009,P=0.001）.The pain of all cases were relieved obviously.There was mild pain in 3 eyes,heavy pain in 18 eyes and severe pain in 9 eyes before operation.There was no pain in 14 eyes,mild pain 9 eyes,heavy pain in 7 eyes within 24 hours after operation.There was no pain in 21 eyes,mild pain in 8 eyes,heavy pain in 1 eye within 72 hours after operation.CONCLUSION：Trans-scleral diode laser cyclophoto-coagulation and ibuprofen oral can alleviate the post-operative pain and lower IOP for late NVG effectively.