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目的探讨激光周边虹膜成形术治疗高褶虹膜型青光眼的疗效。方法对14例(18眼)原发性慢性闭角型虹膜高褶型青光眼,行激光周边虹膜成形术。结果随访3~24个月,平均1.1年。16例(16眼)获得满意疗效,随访期间未发生高眼压,眼压由(25.0±2.2)mmHg降至(15.7±2.1)mm-Hg。周边前房加深,房角增宽,虹膜皱缩,有效防止房角进一步粘连。90%患者暗室试验转为阴性。结论激光周边虹膜成形术是早期慢性闭角虹膜高褶型青光眼的安全有效的降低眼压的方法。
Objective To investigate the effect of laser peripheral iridoplasty in the treatment of glaucomatous glaucoma. Methods 14 cases (18 eyes) of primary chronic angle-closure iris high fold glaucoma underwent laser peripheral iridoplasty. The results were followed up for 3 to 24 months, an average of 1.1 years. Sixteen patients (16 eyes) got satisfactory curative effect. No intraocular pressure was observed during the follow-up period. The intraocular pressure decreased from (25.0 ± 2.2) mmHg to (15.7 ± 2.1) mmHg. Peripheral anterior deepen, widening of the angle, the iris shrinkage, effectively prevent further adhesion angle. 90% of patients in the dark test turned negative. Conclusions Laser peripheral iridoplasty is a safe and effective method to reduce intraocular pressure in early closed angle iris glaucoma.