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1、选择性激光小梁成形术治疗原发性开角型青光眼的临床观察作者:鲁智莉,马翔,任厚杰,王岳秀单位:中国辽宁省大连市,大连医科大学附属第-•医院眼科【摘要】目的:评价选择性激光小梁成形术(selectivelasertrabeculoplasty,SLT)治疗原发性开角型青光眼的疗效和安全性及对不同条件原发性开角型青光眼治疗效果的差异。方法:原发性开角型青光眼46例46眼,分为A组(曾行小梁切除手术)21眼,B纽.(单纯药物治疗)14眼,C组(诊断未经治疗)11眼,经SET治疗,随诊6mo,观察眼压、视力、视野等改变。结果:总体平均眼压在术后Id;1wk;1,
2、3和6mo分为(16.9±3.2),(18.7±3.3),(18.9±3.3),(19.8±3.2),(20.0±3.4)mmHg,均比术前眼压下降,具有显著性统计学差异,同一时间3组间比较无差异,术后反应均为一过性,1〜3d内消失。结论:SLT治疗不同条件的原发性开角型青光眼均安全有效,长期疗效及重复治疗有待进一步观察。【关键词】选择性激光小梁成形术;原发性开角型青光眼;眼压Clinicalobservationofselectivelasertrabeculoplastyonpr
3、imaryopenangleglaucomaZhiLiLu,XiangMa,HouJieRen,YueXiuWangDepartmentofOphthalmology,theFirstAffiliatedHospitalofDalianMedicalUniversity,Dalian116011,LiaoningProvince,ChinaAbstractAIM:Toevaluatetheefficiencyandsafetyofselectivelasertrabeculoplasty(SET)onprimaryopenangleglaucoma(P
4、OAG)andcomparetheeffectunderdifferentcondition:POAGwithprevioustrabeculoplasty,POAGwithmedicaltherapyandPOAGwithouttherapy.METHODS:46eyesof46patientswithuncontrolledPOAG(groupAwithprevioustrabeculectomy,groupBwithmedicaltherapyandgroupCwithouttherapy)weretreatedwithafrequencydou
5、bled,QswitchedNd:YAGlaser,intraocularpressure(IOP)wasmeasured1hour,1day,1weekand1,3,6monthsaftertreatment・RESUETS:TheaverageIOPwas(16.9±3.2)、(18.7±3.3)、(18.9±3.3)、(19.8±3.2)、(20.0±3・4)mmHgal1day,1weekand1,3,6monthsafterSLT,respectively.Therewas
6、significantIOPdecreaseafterSLTandnodifferenceamonggroupA,BandC・CONCLUSION:SLTisaneffectiveandsafemethodtolowerIOPofPOAGnomatterwhetherthepatienthadprevioustrabeculoplasty,medicaltherapyorwithouttherapy.KEYWORDS:selectivelasertrabeculoplasty;primaryopenangleglaucoma;intraocularpr
7、essure原发性开角型青光眼(primaryopenangleglaucoma,POAG)是一种严重损害视功能的致有眼病,药物、激光和手术是其主要治疗方法。氟激光小梁成形术(argonlasertrabeculopkisty,ALT)自1979年应用于临床,显示了一定的降压作用,但曲于其对小梁网的热凝固作用及降压效果不够持久,临床应用受到限制。1995年,Latina等[1]首先报道了选择性激光小梁成形术(selectivelasertrabeculoplasty,SLT),山于英损伤小,口[重复,降压有效,应用范围日渐广泛,我们观察曾行小梁切除手术
8、、单纯药物治疗和未经治疗3种不同条件下原发性开角型青光眼共46例46眼,经SIT治疗的效果,报