摘要
目的观察激光周边虹膜切除术(LPI)治疗早期原发性闭角型青光眼(PACG)的疗效。方法早期PACG患者47例(52眼)接受LPI治疗,采用超声生物显微镜(UBM)测量LPI术前及术后2周术眼中央前房深度(ACD)和上、下、鼻、颞4个象限的房角开放度数(AA),观察术后激光孔形态、并发症及眼压的变化。结果术前与术后2周眼压相仿[(19.02±1.42)mmHg vs.(18.93±1.37)mmHg](P>0.05)。术后2周术眼中央ACD及上、下、鼻、颞4个象限AA较术前均增加(P<0.05)。术后所有患者的虹膜激光孔通畅。术后虹膜出血2例,前房炎症反应1例,角膜水肿1例,所有并发症经对症处理后恢复正常。结论LPI治疗早期PACG可增加术眼中央ACD和AA,但对眼压无明显影响。
Objective To observe the efficacy of laser peripheral iridotomy(LPI)in the treatment of early primary angle-closure glaucoma(PACG).Methods Forty-seven patients with early PACG(52 eyes)were treated with LPI.Ultrasonic biological microscopy(UBM)was used to measure the central anterior chamber depth(ACD).The anterior angle(AA)in the four quadrants before and 2 weeks after LPI.the laser aperture morphology,complications and intraocular pressure were observed after surgery.Results The intraocular pressures were similar before and 2 weeks after operation[(19.02±1.42)mmHg vs.(18.93±1.37)mmHg](P>0.05).Two weeks after surgery,central ACD and AA in the four quadrants of upper,lower,nose and temporal were increased(P<0.05).All iris laser holes were unobstructed after operation.Iris hemorrhage occurred in two cases,anterior chamber inflammation was seen in one case,and corneal edema was seen in one case,which returned to normal after symptomatic treatments.Conclusion LPI is effective in increase central ACD and AA,but has no significant effect on intraocular pressure.
作者
郑华
贺光明
刘琳
ZHENG Hua;HE Guangming;LIU Lin(Department of Glaucoma and Cataract,Huaihua Aier Eye Hospital,Huaihua 418000,CHINA)
出处
《江苏医药》
CAS
2021年第4期387-389,共3页
Jiangsu Medical Journal
作者简介
通信作者:刘琳,E-mail:dalianliulin2008@126.com。
