多波长激光视网膜光凝治疗新生血管性青光眼的临床特点

Clinical features of neovascular glaucoma treated with multi-wavelength laser photocoagulation

目的:观察新生血管性青光眼(neovascular glaucoma,NVG)应用多波长激光进行全视网膜光凝(pan retinal photocoagulation,PRP)的临床特点。方法:NVG患者21例25眼积极抗青光眼治疗同时,应用多波长激光进行PRP,观察光凝特点及并发症。结果:所有患者PRP顺利完成,应用红光光凝较多,光凝时明显疼痛3例5眼,虹膜炎症反应2例3眼,前房和玻璃体少量出血4例4眼,未发生脉络膜视网膜脱离。眼压不同程度下降,眼痛、头痛症状缓解。结论:多波长激光有利于NVG患者PRP的顺利完成,且安全有效。

AIM： To observe clinical features of neovascular glaucoma （NVG） treated with multi- wavelength laser photocoagulation （PRP）. METHODS： Totally 21 patients （25 eyes） with NVG were performed actively anti-glaucoma treatment, at the same time, they were also performed multi-wavelength laser photocoagulation. Photocoagulation characteristics and complications were observed. RESULTS： The PRP was completed successfully on alleyes. Red photocoagulation was used more often. Three cases （5 eyes） had obvious pain, 2 cases （3 eyes） had iris inflammation reaction, 4 cases （4 eyes） had anterior chamber and vitreous hemorrhage. Choroidal retinal detachment was not found, lOP was decreased at different degree, eye pain and headache symptoms were relieved. CONCLUSION： Multi-wavelength laser is conducive to the successful completion of pan retinal photocoagulation in neovascular glaucoma. It is safe and effective.