氪激光周边虹膜成形术治疗原发性闭角型青光眼的急性发作期  

Krypton laser peripheral iridoplasty as treatment of acute attack of primary angle-closure glaucoma

作　　者：罗陈川[1] 梅淑平 

机构地区：[1]福建省厦门市第一医院眼科,361003

出　　处：《眼科新进展》2006年第10期780-782,共3页Recent Advances in Ophthalmology

摘　　要：目的探讨氪激光周边虹膜成形术在不联用抗青光眼药物的情况下,治疗急性发作期原发性闭角型青光眼的安全性及有效性。方法11例患者应用1%毛果芸香碱、0.5%噻吗心安各滴患眼1滴,0.4%盐酸奥布卡因滴眼液表面麻醉后立即行氪激光周边虹膜成形术。术前及术后15min、30min、60min用Goldmann眼压计测量眼压。结果患者眼压从虹膜成形术前平均(68.3±7.1)mmHg(1kPa=7.5mmHg)下降至术后15min平均(35.1±6.7)mmHg,术后30min平均(25.0±5.8)mmHg,术后60min平均(18.1±5.1)mmHg。所有患眼角膜水肿全部消退,无严重并发症出现。结论氪激光周边虹膜成形术治疗急性发作期原发性闭角型青光眼安全、有效,可替代传统的药物治疗,作为治疗首选。Objective To study the efficacy and safety of korpton laser peripheral trtdopLasty as a first-line treatment of acute attack of primary angleclosure gLaucoma（PACG） without the use of systemic anti-gLaucoma medications. Methods Eleven consecutive patients with acute PACG were recruited into the study. Each patient received topical ptlocarptne （ 1% ）, ttmolol （0.5 % ）, oxybuprocatne （ 0.4 % ）, and immediate korpton Laser peripheral trtdoplasty as primary treatment. The tntraocuLar pressures（IOP） of 15 minutes, 30 minutes and 60 minutes after Laser pertpheral trtdopLasty were documented by Goldlnann applanatton tonometry. Results The mean IOP of this group of patients was reduced from （ 68.3 ± 7. 1 ） mmHg（1 kPa= 7.5 mmHg）, before laser peripheral iridoplasty, to（35.1 ± 6.7） mmHg in 15 minutes, （25.0 ± 5.8） mmHg in 30 minutes, and （ 18. 1 ± 5. 1 ） mmHg in 60 minutes after Laser treatment. The cornea edema of patients cleared up. No significant complications were encountered. Conclusion Korpton Laser peripheral iridoplasty, together with topical anttgLaucoma medications without the use of systemic IOP-lowertng medications, appeared to be effective and safe in controlling the IOP in acute PACG.

关 键 词：氪激光 虹膜成形术 急性发作期 原发性闭角型青光眼 

分 类 号：R775.2[医药卫生—眼科]