经巩膜睫状体光凝术对绝对期青光眼的治疗效果

The Therapeutic Effect of Transscleral Ciliary Body Photocoagulation on Absolute Glaucoma

目的观察810 nm激光经巩膜睫状体光凝术(TSCP)治疗绝对期青光眼的效果。方法回顾性分析2018年1月-2020年2月于锦州医科大学附属第三医院眼科治疗的绝对期青光眼患者46例(46眼),均接受810 nm激光TSCP治疗,比较手术成功率、眼压、疼痛程度、并发症发生情况。结果治疗成功44例,成功率为95.65%;术后1天、1周、1个月、6个月患者眼压、VAS评分均低于术前,差异有统计学意义(P<0.01);术后1、6个月患者眼压、VAS评分分别比较,差异均无统计学意义(P>0.01);术中眼部疼痛2例(4.34%);术后1周内前房炎性渗出13例(28.26%),前房出血5例(10.87%),眼部疼痛2例(4.34%),角膜上皮剥脱1例(2.17%);术后1~6个月眼球萎缩2例(4.34%)。结论810 nm激光TSCP能够降低绝对期青光眼患者眼压,减轻其眼部疼痛程度,且术后并发症发生率较低,安全性较高。

Objective To observe the effect of 810 nm laser transscleral ciliary body photocoagulation(TSCP)in the treatment of absolute glaucoma.Methods A retrospective analysis of 46 patients(46 eyes)with absolute stage glaucoma treated in the Ophthalmology Department of the Third Affiliated Hospital of Jinzhou Medical University from January 2018 to February 2020,all received 810 nm laser TSCP treatment.Compare the success rate of surgery,intraocular pressure,pain degree,and complications.Results 44 cases were successfully treated,with a success rate of 95.65%.The intraocular pressure and VAS scores of patients at 1 day,1 week,1 month,and 6 months after operation were lower than those before operation,the difference was statistically significant(P<0.01);The intraocular pressure and VAS scores of patients were compared at 1 and 6 months after operation,the difference was not statistically significant(P>0.01);Intraoperative eye pain in 2 cases(4.34%);Within 1 week after operation,13 cases(28.26%)of anterior chamber inflammatory exudation,5 cases(10.87%)of anterior chamber hemorrhage,2 cases(4.34%)of eye pain,and 1 case(2.17%)of corneal epithelial exudation;There were 2 cases(4.34%)of eyeball atrophy from 1 to 6 months after operation.Conclusion 810 nm laser TSCP can reduce the intraocular pressure of patients with absolute stage glaucoma,relieve their eye pain,and have a low incidence of postoperative complications and high safety.