[1]金荣亮,骆 玮,孙丽丽,等.经巩膜睫状体光凝术对绝对期青光眼的治疗效果[J].医学信息,2021,34(18):126-127,131.[doi:10.3969/j.issn.1006-1959.2021.18.033]
 JIN Rong-liang,LUO Wei,SUN Li-li,et al.The Therapeutic Effect of Transscleral Ciliary Body Photocoagulation on Absolute Glaucoma[J].Medical Information,2021,34(18):126-127,131.[doi:10.3969/j.issn.1006-1959.2021.18.033]
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经巩膜睫状体光凝术对绝对期青光眼的治疗效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年18期
页码:
126-127,131
栏目:
临床研究
出版日期:
2021-09-18

文章信息/Info

Title:
The Therapeutic Effect of Transscleral Ciliary Body Photocoagulation on Absolute Glaucoma
文章编号:
1006-1959(2021)18-0126-03
作者:
金荣亮1骆 玮1孙丽丽1龚 蕤1范 玲1刘 华2
1.锦州医科大学附属第三医院眼科,辽宁 锦州 121000;2.锦州医科大学,辽宁 锦州 121000
Author(s):
JIN Rong-liang1LUO Wei1SUN Li-li1GONG Rui1FAN Ling1LIU Hua2
1.Department of Ophthalmology,the Third Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,Liaoning,China;2.Jinzhou Medical University,Jinzhou 121000,Liaoning,China
关键词:
绝对期青光眼眼压经巩膜睫状体光凝术
Keywords:
Absolute glaucomaIntraocular pressureTransscleral ciliary body photocoagulation
分类号:
R779.63
DOI:
10.3969/j.issn.1006-1959.2021.18.033
文献标志码:
A
摘要:
目的 观察810 nm激光经巩膜睫状体光凝术(TSCP)治疗绝对期青光眼的效果。方法 回顾性分析2018年1月-2020年2月于锦州医科大学附属第三医院眼科治疗的绝对期青光眼患者46例(46眼),均接受810 nm激光TSCP治疗,比较手术成功率、眼压、疼痛程度、并发症发生情况。结果 治疗成功44例,成功率为95.65%;术后1天、1周、1个月、6个月患者眼压、VAS评分均低于术前,差异有统计学意义(P<0.01);术后1、6个月患者眼压、VAS评分分别比较,差异均无统计学意义(P>0.01);术中眼部疼痛2例(4.34%);术后1周内前房炎性渗出13例(28.26%),前房出血5例(10.87%),眼部疼痛2例(4.34%),角膜上皮剥脱1例(2.17%);术后1~6个月眼球萎缩2例(4.34%)。结论 810 nm激光TSCP能够降低绝对期青光眼患者眼压,减轻其眼部疼痛程度,且术后并发症发生率较低,安全性较高。
Abstract:
Objective To observe the effect of 810 nm laser transscleral ciliary body photocoagulation (TSCP) in the treatment of absolute glaucoma. Methods A retrospective analysis of 46 patients (46 eyes) with absolute stage glaucoma treated in the Ophthalmology Department of the Third Affiliated Hospital of Jinzhou Medical University from January 2018 to February 2020, all received 810 nm laser TSCP treatment.Compare the success rate of surgery, intraocular pressure, pain degree, and complications.Results 44 cases were successfully treated, with a success rate of 95.65%. The intraocular pressure and VAS scores of patients at 1 day, 1 week, 1 month, and 6 months after operation were lower than those before operation,the difference was statistically significant (P<0.01);The intraocular pressure and VAS scores of patients were compared at 1 and 6 months after operation,the difference was not statistically significant (P>0.01);Intraoperative eye pain in 2 cases (4.34%);Within 1 week after operation, 13 cases (28.26%) of anterior chamber inflammatory exudation, 5 cases (10.87%) of anterior chamber hemorrhage, 2 cases (4.34%) of eye pain, and 1 case (2.17%) of corneal epithelial exudation;There were 2 cases (4.34%) of eyeball atrophy from 1 to 6 months after operation.Conclusion 810 nm laser TSCP can reduce the intraocular pressure of patients with absolute stage glaucoma, relieve their eye pain, and have a low incidence of postoperative complications and high safety.

参考文献/References:

[1]杨海燕.半导体激光经巩膜睫状体光凝术治疗难治性青光眼[J].医学综述,2012,18(19):3245-3248.[2]欧文,张绍丹,郑景伟,等.个性化睫状体光凝术治疗难治性青光眼的短期观察[J].中国眼耳鼻喉科杂志,2017,17(3):187-190.[3]刘晓瑞,李玉茹,李波.经巩膜睫状体光凝术应用于不同类型青光眼治疗的效果研究[J].临床研究,2018,26(12):96-97.[4]樊宁宁.经巩膜睫状突光凝术对治疗新生血管性青光眼的有效性和安全性[D].大连:大连医科大学,2018.[5]曹亚云.人文关怀在眼球摘除术患者中的实施[J].医学信息,2015(z3):378-378.[6]梁民,王瑛,郑茜匀.睫状体冷冻联合球后注射氯丙嗪治疗绝对期青光眼的疗效[J].中国当代医药,2013,20(16):71-72.[7]杨丛丛,姜涛,王大博.超声睫状体成形术治疗难治性青光眼的临床效果及安全性[J].眼科新进展,2018,38(10):982-985.[8]朱银花,刘升强,王帅,等.经巩膜睫状体光凝术治疗难治性青光眼的临床研究[J].中国实用眼科杂志,2015,33(6):630-634.[9]赵国凤.经巩膜睫状体光凝术治疗不同类型青光眼的临床效果分析[J].中外医学研究,2016,14(33):37-38.[10]苏陆青,王婕,张月玲,等.810 nm激光经巩膜睫状体光凝治疗难治性青光眼的效果[J].武警医学,2017,28(10):1008-1011.[11]韩丹阳.二极管激光经巩膜睫状体光凝术治疗难治性青光眼疗效观察[J].中国医疗器械信息,2019,25(11):139-140.

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更新日期/Last Update: 1900-01-01