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作者回顾了10例13眼青光眼色素播散综合征病例的氩激光小梁成形术对眼压的作用,并探讨某些病例失败的机理。所有患者均为接受最大耐受量的药物治疗,但视盘仍呈进行性凹陷及视野改变而需作手术治疗者,然均未曾作过眼内手术。所有病例均属典型的双侧色素播散,但不全是双侧性青光眼。年龄为27～71岁,除一例外均为男性。氩激光治疗一般按照Wise及Witter的原始方法,给予90～110个击射点,时间为0.1秒,光斑大小为50μm,功率为600～750mW。早期病例,一次击射360°范围的小梁部;晚期病例,分二次击射,每次击
The authors reviewed the effect of argon laser trabeculoplasty on intraocular pressure in 10 patients with glaucomatous disseminated disease in 13 eyes and explored the mechanism of failure in some cases. All patients were treated for the most tolerated drugs, but the optic disc was still progressive depression and visual field changes required for surgery, but neither had intraocular surgery. All cases are typical of bilateral disseminated pigment, but not all bilateral glaucoma. Aged 27-71 years old, except for one male. Argon laser treatment is generally performed according to Wise and Witter’s original method, giving 90-110 shot points for 0.1 second, spot size of 50 μm, and power of 600-750 mW. Early cases, a 360 ° shot of the trabecular area; late cases, sub-two shots, each shot