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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效于浩付晓娜迟明美(山东省昌邑市人民医院261300)【中图分类号】R775【文献标识码】A【文章编号】1672-5085(2013)16-0109-02【摘要】R的探讨选择性激光小梁成形术(selectivelasertrabeculoplasty,SLT)治疗原发性开角型青光眼的安全性和有效性。方法对24例30眼原发性幵角型青光眼患者，8例10眼原发性开角型青光眼氩激光小梁成形术(argonlasertrabeculoplasty,ALT)失败患者，采用倍频Q-开关532nmNd:YAG激光治
2、疗。戶斤有患者上方或卜方房角180度范围内进行治疗，能量0.50〜1.50mj,点数80〜100点。测量术后lh眼压，术后Id;1周；1月、3月、6月；1年随访，对比术前术后眼压、最佳矫正视力、视野及杯盘比变化。结果患者术前眼压(24.35±6.12)mmHg,术后lh为(18.12±5.23)mmHg,Id为(15.62±3.61)mmHg,1周为(18.14±2.05)mmHg,1月为(16.58±3.22)mmHg,3月为(18.26±2.52)mmHg,
3、6月为(17.02±2.31)mmHg,1年为(18.03±3.41)mmHg；术前患者杯盘比为0.58±0.20,术后1年为0.57±0.30;术前视力0.81±0.30,术后1年视力为0.83±0.41;视野术前术后无变化。结论选择性激光小梁成形术可以有效地降低原发性开角型青光眼及原发性开角型青光眼氩激光小梁成形术失败患者的眼内压。【关键词】选择性激光小梁成形术；原发性开角型青光眼；氩激光小梁成形术；眼内压Clinicaleffectionofselecti
4、velasertrabeculoplasyonprimaryopenglaucoma【Abstract】ObjectiveToevaluatethesafetyandefficiencyofselectivelasertrabeculoplasty(SLT)onprimaryopenangleglaucoma(POAG).MethodsAtotalof30eyesof24patientswithPOAG,10eyesof8POAGpatientswithfailureafterargonlasertrabeculoplasty(ALT)ther
5、apy,andtheyweretreatedwithafrequency-doubled,Q-switchedNd:YAGlaser(532nm).Atotalofapproximately80〜100nonoverlapingspotswereplacedover180°ofthegonioscopenasalortemporalsideattheenergylevelsrangingfrom0.50-1.50mJ/pulse.Everypatientwasaskedforfollow-upatlh,ld,lw,lm,3m,6m,an
6、dlyaftertreatment.IOP,visualacuity,C/Dandvisualfieldwereexaminedeachtime.ResultsThepretreatmentIOPwas(24.35±6.12)mmHg.Attheendoffirstlh,ld,lw,lm,3m,6m,lyofthefollow-up,theIOPwas(18.12±5.23)mmHg,(15.62±3.61)mmHg,(18.14±2.05)mmHg,(16.58±3.22)
7、mmHg/(18.26±2.52)m-mHg,(17.02±2.31)mmHg,(18.03±3.41)mmHgrespectively.Thepretreatmentcup/discratiowas0.58±0.20,attheendoflyofthefollow-up,theC/Dratiowas0.57±0.30;thepretreatmentvisualacuitywas0.81±0.30,attheendoflyofthefollow-up,thevi
8、sualwas0.83±0.41,withoutsignificantdifferenceinvisualfield.Conclusio
