激光虹膜成形术治疗急性原发性闭角型青光眼的疗效观察  

Clinical observation of laser peripheral iridoplasty for acute primary angle closure glaucoma

作　　者：崔宏宇[1] 郭黎霞[1] 吕爱国[1] 张志宏[1] 路平[1] 张新[1] 杨艳萍 申然[1] 曹志刚[1] 王立芳 胡建华 范肃洁[1] Cui Hongyu;Guo Lixia;Lv Aiguo;Zhang Zhihong;Lu ping;Zhang Xin;Yang Yanping;Shen Ran;Cao Zhigang;Wang Lifang;Hu Jian-hua;Fan Sujie(Handan City Eye Hospital(The Third Hospital of Handan),Handan 056001,China)

机构地区：[1]邯郸市眼科医院(邯郸市第三医院)眼科,056001

出　　处：《临床眼科杂志》2023年第6期526-528,共3页Journal of Clinical Ophthalmology

基　　金：河北省科技计划项目(16277790D)。

摘　　要：目的探讨激光虹膜成形术(LPIP)治疗急性原发性闭角型青光眼(APACG)的临床疗效。方法回顾性病例研究。本研究纳入2020年2月至2022年2月我院31例(33只眼)APACG,采用激光虹膜成形术治疗。比较治疗后1、2、6 h眼压、最佳矫正视力(BCVA)以及眼前节变化。结果治疗后1、2、6 h眼压均显著低于治疗前,治疗后1、2、6 h BCVA均高于治疗前(均P<0.05),治疗后1、2、6 h中央前房深度(ACD)、前房角角度(ACA)均显著升高(均P<0.05)。结论LPIP治疗APACG在降低眼压以及提升视力方面较为迅速,可以改善ACD、ACA。Objective To investigate the clinical effect of laser peripheral iridoplasty in the treatment of acute pri⁃mary angle⁃closure glaucoma(APACG).Methods In this study,31 patients(33 eyes)with APACG in our hospital from February 2020 to February 2022 were enrolled and treated with laser peripheral iridoplasty.Intraocular pressure(IOP),best corrected visual acuity(BCVA)and anterior ganglia were compared 1 h,2 h and 6 h after treatment.Results The intraocular pressure at 1 h,2 h and 6 h after treatment was lower than that before treatment;the BCVA at 1 h,2 h and 6 h after treatment was higher than that before treatment(all P<0.05);the central anterior chamber depth(ACD)and an⁃terior chamber Angle(ACA)were increased at 1 h,2 h and 6 h after treatment(all P<0.05).Conclusions Laser pe⁃ripheral iridoplasty in APACG treatment is rapid in reducing intraocular pressure and improving vision,and can improve ACD and ACA.

关 键 词：激光虹膜成形术 急性原发性闭角型青光眼 眼压 视力 眼前节 

分 类 号：R779.6[医药卫生—眼科]