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目的探讨氩激光/Nd:YAG联合激光虹膜切除术治疗急性闭角型青光眼的近期疗效。方法回顾性分析我院氩激光/Nd:YAG联合激光虹膜切除术31例(35眼)。对其激光参数,术前、术后视力,眼压,并发症等进行统计学分析。结果疗效确切,100%透切成功。术后眼压平均下降(4±4)mmHg,术前、术后比较差异有统计学意义(P<0.01)。眼压控制率97%。虹膜孔洞大小易控制,孔洞边缘更圆滑、垂直。并发症如虹膜出血、术后一过性眼压升高发生率低,未诱发急性青光眼发作,前色素膜炎也较轻。结论氩激光/Nd:YAG联合激光虹膜切除术效果确切,更为安全,并发症少。
Objective To investigate the short-term curative effect of argon laser / Nd: YAG combined with laser iridotomy on acute angle-closure glaucoma. Methods Retrospective analysis of our hospital argon laser / Nd: YAG laser iridectomy in 31 cases (35 eyes). The laser parameters, preoperative, postoperative visual acuity, intraocular pressure, complications and other statistical analysis. The results of the exact effect, 100% through the success. Postoperative IOP decreased (4 ± 4) mmHg on average, with significant difference before and after operation (P <0.01). IOP control rate of 97%. Iris hole size easy to control, the hole edge is more smooth, vertical. Complications such as iris hemorrhage, transient postoperative intraocular pressure increased incidence of low, did not induce acute glaucoma episodes, anterior melanitis is also mild. Conclusion Argon laser / Nd: YAG combined with laser iridectomy is more effective, safer and less complication.