氩激光超全视网膜光凝术治疗新生血管性青光眼

目的：评估氩激光超全视网膜光凝术对视网膜中央静脉阻塞所致的新生血管性青光眼的疗效。方法：用氩蓝绿激光对12眼视网膜中央静脉阻塞所致的新生血管性青光眼行超全视网膜光凝术,每眼平均光凝点达2050点。结果：术后8例虹膜和前房角新生血管全部萎缩,4例术后眼压控制至正常水平,8例术后眼压仍高,但较术前明显下降,虽需药物或其他手术辅助降压,但全部患者的眼痛、头痛症状均有减轻或消失。结论：超全视网膜光凝术应为视网膜中央静脉阻塞所致的新生血管性青光眼的首选治疗方法,光凝越早,范围越广,效果越好。

Effect of extra-panretinal photocoagulation with argon laser on neovascular glaucoma

Objective: To evaluate the effect of extra-panretinal photocoagulation with argon laser for neovascular glaucoma indu ced by central retinal vein occlusion. Methods: Twelve cases (twelve eyes) of neovascular glaucoma were treated by extra-panretinal photocoagulat ion with argon laser. The average number of photocoagulation spots of each eye was 2 050. Results: After photocoagulation, the iris and anterior chamber angle neovascularizations of 8 cases disappeared. The IOPs of 4 cases became normal. Though the IOPs of another 8 cases were still high and anti-glaucoma medicines or other procedures were needed, the IOPS were much lower than that before laser treatment and the ocular pain and headache were disappeared or reduced.Conclusion: The extra-p anretinal photocoagulation appears to be the first choice for neovascular glauco ma induced by central retinal vein occlusion. The earlier and more extensive the photocoagulation is, the better the effect is.