经巩膜睫状体光凝术治疗睫状环阻滞性青光眼临床观察

目的:探讨经巩膜睫状体光凝术治疗睫状环阻滞性青光眼的疗效、安全性、术后并发症。方法:睫状环阻滞性青光眼7例7眼,应用可耐受最大剂量降眼压药物治疗后眼压仍在30mmHg左右,行810nm激光经巩膜睫状体光凝。结果:患者7例治疗前平均眼压33.63±4.50mmHg,光凝后1wk平均眼压15.88±3.21,两者比较,差异有显著意义(P<0.05);治疗前平均视力0.16±0.11,光凝后1wk平均视力0.42±0.20,两者比较,差异有显著意义(P<0.05),所有患者前房均在36h内逐渐恢复,1例患者术后前房稍许出血,治疗后好转。结论:经巩膜睫状体光凝术是治疗睫状环阻滞性青光眼的安全、有效方法。

Transscleral cyclodiode laser photocoagulation in the treatment of ciliary block glaucoma

AIM:To investigate the effect,safety and postoperation complications in the treatment of ciliary block glaucoma by transscleral cyclodiode laser photocoagulation. METHODS:It is a prospective study.Seven patients diagnosed ciliary block g’aucoma were given maximal dose anti-glaucoma medicines.But their intraocular pressure were still more than 30mmHg.Then they were treated by transscleral cyclodiode laser photocoagulation. RESULTS:Intraocular pressure and best-corrected visual acuity were compared between preoperation and postoperation after 1 intervention week Mean±SD intraocular pressure was reduced from 33.63±4.50mmHg pre-operatively to 15.88±3.21mmHg post-operatively; Mean±SD best-corrected visual acuity was increased from 0.16±0.11 preoperatively to 0.42±0.20 postoperatively. These two indexes were significantly different. All the patients’ anterior chamber were formed during 36 hours and one patient who had a small hyphema healed well. CONCLUSION:Transscleral cyclodiode laser photocoagulation appears to be an effective and safe treatment for ciliary block glaucoma.