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本组应用红宝石激光对色素膜炎导致的瞳孔闭锁、瞳孔膜闭及角膜溃疡引起的粘连性角膜白斑所致的继发青光眼进行治疗,疏通前后房使眼压下降,计53例55眼,治愈34眼,好转11眼,无效10眼,有效率81.8%。视力增进者24眼占43.6%。激光能量采用1—1.5焦耳,以击穿—面至—面半刮面刀片的能量为准,并参照角膜透明度、虹膜色素含量和有无虹膜萎缩情况进行选择。每次照射与重复治疗间隔按患者情况与治疗反应而定。一般每周1—2次,眼部反应重者每次击射一下,反应轻者每次可击射1—3下;待虹膜反应消退后,在原照射所形成的初期萎缩区或裂隙旁再行虹膜击射,则易于透切。
The group applied ruby laser on the pupil atopic dermatitis caused by atresia, pupil membrane closure and corneal ulcer caused by adhesion of corneal leukoplakia secondary glaucoma treatment, clear the anterior chamber before and after the intraocular pressure decreased, accounting for 53 cases of 55 eyes, cured 34 eyes, improved 11 eyes, invalid 10 eyes, effective rate 81.8%. Eyes increased by 24 eyes 43.6%. The laser energy is 1-1.5 Joule. The energy of the puncture-face-to-face and semi-scraping blade shall prevail. Refer to the corneal transparency, the iris pigment content and the absence of iris shrinkage. Each irradiation and repeat treatment interval according to the patient’s condition and treatment response may be. Generally 1-2 times a week, severe eye reactions each shot about the reaction of the light can be shot 1-3 times each; until the iris response subsided in the original irradiation of the initial atrophy or crevice Iris shot line, then easy to penetrate.