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目的探讨氪(Kr)/Nd:YAG激光/SLT(Selectlasertrabecularplasty,SLT)联合应用治疗慢性闭角型青光眼的临床疗效。方法对11例14眼有适应症的患者,先以Kr/Nd:YAG激光联合应用进行周切虹膜切除术,1周后氪激光周边虹膜成形术联合SLT。比较手术前后眼压变化。结果全部病例1次透切虹膜,经氪激光周边虹膜成形术后,房角加宽,SLT治疗后9眼眼压改善到<20mmHg,1眼眼压在2mo时回升到36mmHg,转为手术治疗。4眼可停用局部降眼压药,眼压维持正常。结论对部分有适应症的慢性闭角型青光眼是一种安全有效的治疗方法。
Objective To investigate the clinical effects of krypton (Kr) / Nd: YAG laser combined with SLT on chronic angle-closure glaucoma. Methods 11 patients with indications of 14 eyes were treated with Kr / Nd: YAG laser in combination with iridectomy and krypton laser peripheral iridoplasty with SLT after 1 week. IOP changes before and after surgery. Results All patients underwent iris transection 1 time. After the iridoplasty with krypton laser, the angle was widened. The intraocular pressure of 9 eyes was improved to <20 mmHg after SLT treatment. The intraocular pressure of 1 eye returned to 36 mmHg at 2 months and was converted to surgery . 4 eyes can stop local IOP reduction, intraocular pressure remained normal. Conclusion Some of the indications of chronic angle-closure glaucoma is a safe and effective treatment.