经巩膜接触式Nd:YAG激光睫状体光凝术治疗晚期青光眼  

Transscleral contact Nd:YAG laser cyclophotocoagulation for glaucoma

作　　者：庞辰久[1] 董应丽[1] 宋晓红[1] 杨国华[1] 

机构地区：[1]河南省眼科研究所,郑州市450003

出　　处：《实用诊断与治疗杂志》2005年第9期653-654,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的:探讨Nd:YAG激光对晚期青光眼的治疗效果。方法:晚期青光眼30例31眼,行Nd:YAG激光睫状体光凝手术,根据治疗前眼压高低情况确定治疗点数,术后观察眼压,视力改变及并发症,随访4年。结果:新生血管性青光眼和其它类型青光眼治疗前后眼压下降均有显著意义,P<0.01,但二者间眼压下降无显著性差异,P>0.05。结论:Nd:YAG激光对晚期新生血管性青光眼和非新生血管性青光眼均有很好疗效,且操作简单,安全,值得在临床上推广应用。Objective To evaluate the effect of Nd： YAG laser for transscleral contact cyclophotocoagulation in the treatment of glaucoma. Methods Thirty-one eyes of 30 glaucoma patients were treated with Nd： YAG laser. The treatment sports were determined by intraocular pressure level. The intraocular pressure, visual acuity and complication were observed in the 4 year follow-up. Results The intraocular pressure in both neovascular glaucoma and other type refractory glaucoma was lowered significantly after treatment （P〈0.01）. The successful rate was similar in both neovascular glaucoma and other type refractory glaucoma （P〈0.05）. Conclusion Transscleral contact Nd ： YAG laser cyclophotocoagulation is a safe, effective procedure to reduce the intraocular pressure in the treatment of refractive glaucoma.

关 键 词：青光眼 ND:YAG激光 睫状体光凝 

分 类 号：R779.63[医药卫生—眼科]