葡萄膜炎继发闭角型青光眼治疗的临床观察

Clinical observation of uveitis secondary angle-closure glaucoma therapy

目的：虹膜激光切除术治疗葡萄膜炎继发闭角型青光眼的临床效果。方法回顾性分析23例32眼葡萄膜炎继发闭角型青光眼给予虹膜激光切除术后临床资料,通过视力、眼压观察治疗情况。结果术前眼压25-40 mmHg（1 mmHg=0.133 kPa）,术后终末眼压为12-21 mmHg,随访期间31眼（96.88%）眼压在正常范围内；术后视力≥0.5者14眼（43.74%）,较术前视力≥0.5者3眼（9.38%）明显提高。结论虹膜激光切除术治疗葡萄膜炎继发性闭角型青光眼是一种安全有效的方法。

Objective Clinical effect of iris laser resection in the treatment of uveitis secondary angle-closure glaucoma. Methods A retrospective analysis of 23 patients （32 eyes） with uveitis secondary angle-closure glaucoma were performed iris laser resection, and observation of treatment by vision and intraocular pressure. Results The preoperative intraocular pressure was 25-40 mmHg （1 mmHg=0.133 kPa） which decreased to postoperative intraocular pressure of 12-21 mmHg. 31 eyes（96.88%）was normal after follow 6 months.3 eyes（9.38%） had a vision of≥0.5 of preoperative, 14 eyes （43.74%） had a vision of≥0.5 of postoperative, the vision of postoperative was increased obviously. Conclusion Iris laser resection in the treatment of uveitis secondary angle-closure glaucoma is a safe and effective method.