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半导体激光睫状体光凝术治疗难治性青光眼 被引量:1

Contact Transscleral Dlode Cyclophotocoggulation for Refractory Glancoma
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摘要 目的评价应用半导体激光接触式经巩膜睫状体光凝治疗难治性青光眼的疗效。方法对32例34只眼滤过手术失败,或预计滤过手术不成功伴有严重眼部疼痛的难治性青光眼,施以半导体激光睫状体光凝术。术后随访时间为12个月,进行视力检查,眼压测量及眼部情况观察。结果术前及术后眼压经自身配对t检验,t=13.73。P<0.00,差异有非常显著性,术前术后视力检查无变化,除新生血管性青光眼术后易发生前房出血外,眼部无其他显著并发症。结论半导体睫状体光凝术是治疗难治性青光眼的一种有效的方法。 Objective To evaluate the effect of contact transscleral diode cyclophotocoagulation with refractory glaucoma. Method Thirty - four eyes of thhy - two patients undergoing contact transscleral diode cyclopbotocoagulation for refractory glaucoma were reviewed. Visual acuity, intraocular pressure (IOP), and complication were noted fallow- up as long as 12 months. Results There were significant difference of IOP between preoperative and postoperatire. Vision of eyes kept the same. No complications were found excluding hemorrhage in anterior chamber of neovascular glaucoma. Conclusion Contact transacleral diode cyclophotocoagulation is effective in lowering IOP in eyes with refractory glaucoma.
出处 《医学研究通讯》 2003年第3期51-52,共2页 Bulletin of Medical Research
关键词 半导体激光 睫状体光凝术 治疗 难治性青光眼 Glaucoma Refractory Laser surgery
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参考文献6

  • 1Bloom PA, Tsai JC, Shanna K, et al. Cydodiode: transscleral diode laser cyclophotocoagulation in the treatment of advanced refractory glaucoma. Ophthalmolomogy , 1997, 104:1508-1520.
  • 2Simmons RB, Prom BE, Shidds SR, et al. Videogrnphic and histologic conparison of Nd: YAG and diode laser contact transseleral cydophotocoagulation. Am. J. Ophthalmol, 1994, 117:337-341.
  • 3李静贞,赵家良.睫状体冷冻治疗青光眼的疗效观察[J].中华眼科杂志,1990,26(2):98-101. 被引量:21
  • 4Schuman .IS, Noecker RJ, Puliafito CA, et al. Energy levels and probe placement in contact transscleral semiconductor diode laser cydophotocoagulation in human cadaver eyes. Arch Ophthalmol , 1991, 109 : 1534 -1538.
  • 5Kosoko O, Gaasterland DE, Pollack IP, et al. Long- term outcome of initial ciliary ablation with contact diode laser transscleral cyclophotocoagulation for severe glaucoma . Ophthalmology, 1996, 103:1294- 1302.
  • 6ReboLleda G, Muncg FJ, Murube J. Audible pegs during cydodiode procedures. J Glaucoma, 1999, 8:177- 183.

二级参考文献1

  • 1李静贞,国外医学眼科学分册,1987年,11卷,215页

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