Nd:YAG激光虹膜切开术对葡萄膜炎继发性青光眼的眼压和前房的影响  

Effect of Nd:YAG laser iridotomy on introocular pressure and anterior chamber of glaucoma secondary to uveitis

作　　者：王婷婷[1] 谢茂松[1] 

机构地区：[1]福建医科大学附属第一医院眼科,中国福建省福州市350005

出　　处：《国际眼科杂志》2014年第1期184-185,共2页International Eye Science

摘　　要：目的：评价Nd：YAG激光虹膜切开术治疗葡萄膜炎继发性青光眼的临床效果。 方法：回顾性分析我院35例35眼葡萄膜炎继发瞳孔阻滞型青光眼经Nd：YAG激光虹膜切开术治疗的情况。随诊8～39（平均24．6） mo。 结果：患者35例35眼均一次激光完成虹膜切开术。术后3d，眼压控制在14～23（平均19．8±6．5） mmHg，与术前（43．5±10．3mmHg）相比，差异有统计学意义（ t＝2．421，P＜0．05）。术后前房均明显加深，周边虹膜膨隆消失。术后2wk复查UBM，14眼房角重新开放，与术前相比，差异有统计学意义（χ2＝12．78，P＜0．01）。 结论：Nd：YAG激光虹膜切开术是治疗葡萄膜炎继发性青光眼的一种安全有效的方法，能避免此类患者房角永久性粘连。AIM：To evaluate the value of Nd： YAG laser iridotomy in glaucoma secondary to uveitis. METHODS：Totally 35 eyes of 35 patients with glaucoma secondary touveitis were treated by Nd： YAG laser iridotomy and retrospectively analyzed.The patients were followed up for 8 months to 39 months （ mean 24.6 months） . RESULTS：All eyes got laser holes in iris after the initial treatment.Three days after surgery, the intro-ocular pressure of all patients varied from 14 to 23mmHg with an average of 19.8 ±6.5mmHg.Compared with that before surgery （43.5 ±10.3mmHg）, the difference in the intro-ocular pressure was significant （ t =2.421, P〈0.01 ）. Compared with that before surgery, the anterior chamber of all the eyes were deepened after surgery.As shown in the UBM examined 2 weeks after surgery, the anterior chamber angle of 14 eyes were re-opened, which was significant in comparison with that before the surgery （χ2=12.78, P〈0.01）. CONCLUSION：Nd： YAG laser iridotomy is a safe and effective therapy in the control of glaucoma secondary to uveitis, which can avoid the permanent adherence of anterior chamber angle.

关 键 词：Nd YAG激光虹膜切开术 葡萄膜炎 继发性青 光眼 

分 类 号：R779.63[医药卫生—眼科]