Nd:YAG激光治疗眼前段疾病的回顾分析  

Retrospective analysis of Nd:YAG laser in the treatment of anterior segment ocular diseases

作　　者：鲍炯琳[1] 朱宇东[1] 李青[1] 林文雄[1] 周斌兵[1] 孙丽[1] 王文娟[1] 臧晶[1] 

机构地区：[1]广东药学院附属第一医院眼科,广州510080

出　　处：《中国医疗前沿》2012年第11期57-59,共3页China Healthcare Innovation

摘　　要：目的探讨Nd:YAG激光治疗眼前段疾病的疗效及并发症的防治。方法应用Nd:YAG激光行后囊膜切开术、周边虹膜切开术、人工晶体前膜切开术、前段玻璃体条索切断术等386例421眼,采用回顾性病例研究的方法,总结疗效及并发症等情况。结果 Nd:YAG激光行后囊膜切开术,术后1周所有患者视力有不同程度的提高;晶状体后囊皱褶切开术,术后视力提高1-3行;周边虹膜切开术,一次虹膜击穿着56眼(91.80%),12眼(19.67%)眼压一过性升高;人工晶体前膜切开术,13眼术后视力皆提高2行以上;前段玻璃体条索切断术,14眼(87.5%)瞳孔恢复正圆形或近正圆形。结论 Nd:YAG激光操作简单,疗效好,是眼前段疾病的主要治疗手段。手术医生在熟悉机器性能、熟练掌握激光技能的基础上,应该不断总结经验,减少并发症的发生。Objective To evaluate the efficacy of Nd：YAG laser treatment for anterior segment ocular diseases.Methods A total of 386 patients（421 eyes） treated with Nd：YAG laser for posterior capsulotomy,peripheral iridotomy,intraocular lens anterior membrane formation removal and anterior vitreous fiber cord resection were analyzed retrospectively.Results Instant success rate of Nd：YAG laser posterior capsulotomy was good and all patients’ visual acuity improved with varying degrees after 1 week.Perforating rate for the first time laser peripheral iridotomy was 91.80% and 19.67% with transient high introcular pressure.Visual acuity also improved significantly after Nd： YAG laser removal of vitreous fiber cord in the anterior chamber which formed after cataract phacomulsification and introcular lens implantation.In 87.5% cases,pupil discoria recovered after anterior vitreous fiber cord resection.Conclusion Nd：YAG laser is a simple and efficative treatment for various anterior segment disease and merit further review.

关 键 词：ND:YAG激光 后发性白内障 激光囊膜切开 闭角型青光眼 周边虹膜切除术 

分 类 号：R779.63[医药卫生—眼科]