选择性激光小梁成形术在青睫综合征中的降眼压作用  

Effects of selective laser trabeculoplasty on lowering intraocular pressure in treatment of Posner-Schlossman syndrome

作　　者：谭海波[1] 陆士恒[1] 柳林[1] 

机构地区：[1]上海交通大学医学院附属仁济医院眼科,上海市200127

出　　处：《眼科新进展》2015年第10期975-976,982,共3页Recent Advances in Ophthalmology

摘　　要：目的评估选择性激光小梁成形术在青睫综合征中的降眼压作用。方法采用回顾性临床病例研究,选择最大耐受药物治疗眼压仍未达到正常的青睫综合征患者10例10眼,于间歇期应用选择性激光小梁成形术治疗,观察再次发作时眼压、最佳矫正视力和手术并发症等情况。结果选择性激光小梁成形术治疗后再次发作时眼压为(14.50±0.89)mm Hg(1 k Pa=7.5 mm Hg),与术前(46.20±7.16)mm Hg相比明显降低,差异有统计学意义(P=0.000 1);术后最佳矫正视力为0.98±0.15,与术前0.79±0.08相比差异有统计学意义(P=0.03)。术后2 h 2眼出现一过性眼压升高,7眼出现轻度的前房炎性反应,未见全身不良反应。结论选择性激光小梁成形术能明显降低青睫综合征患者再次发作时的眼压。Objective To evaluate lowering intraocular pressure effects of selec- tive laser trabeculoplasty （SLT） in the treatment of Posner-Schlossman syndrome. Methods This was a retrospective clinical study. Ten patients（ 10 eyes） with uncon- trolled intraocular pressure when using maximally tolerated medications were treated by SLT during the intermission of glaucomatocyclitic crisis. The intraocular pressure, best corrected visual acuity, and adverse events were observed during the recurrence of this disease. Results During the recurrence of this disease after SLT. the intraocular pres- sure was （ 14. 50 ± 0. 89 ） mmHg （ 1 kPa = 7. 5 mmHg）, compared with before SLT （46.20 ± 7.16 ） mmHg, there was statistical difference （P = 0. 000 1 ）. The best corrected visual acuity after SLT was 0.98 ± 0. 15, compared with before SLT 0.79±0.08, there was statistical difference（P = 0.03 ）. The transient hypertension appeared in 2 eyes at 2 hours after SLT, slight anterior chamber inflammatory was in 7 eyes, and no significant systemic adverse effects was observed. Conclusion SLT is effective and safety on lowering intraocular pressure for Posner-Schlossman syndrome.

关 键 词：选择性激光小梁成形术 青睫综合征 眼压 

分 类 号：R775.2[医药卫生—眼科]