一、历史背景激光治疗青光眼,已被誉为70年代青光眼进展史上的重大事件之一。在肯定了激光虹膜切除术对防治早期闭角型青光眼的卓越效果之后,学者们把激光治疗的目标转移到开角型青光眼方面来。基于开角型青光眼的房水主要排出障碍在于房角小梁网的这一认识,用激光束在小梁组织上作一个“穿刺”,与Sehlemm管沟通而降低眼压这一设想,于1970年首先由Krasnov使之变为现实。他用Q-开关红宝石脉冲激光试作房角穿刺(laseropuncture of anterior chamber angle)。经家兔实验取得一定经验后用于临床。1973年报道了经他治疗并随访了一年多的10例青 First, the historical background Laser treatment of glaucoma, has been hailed as one of the major events in the history of glaucoma in the 1970s. After affirming the excellent effect of laser iridotomy on the prevention and treatment of early angle-closure glaucoma, scholars have shifted the goal of laser treatment to open-angle glaucoma. The main obstacle to aqueous humor drainage based on open-angle glaucoma lies in the perception of the trabecular meshwork, using a laser beam to make a “puncturing” of the trabecular tissue and communicating with the Sehlemm tube to reduce intraocular pressure, in 1970 In the first instance Krasnov made it a reality. He used a Q-switched ruby ​​pulsed laser to make a laseropuncture of anterior chamber angle. Rabbit experiment obtained some experience for clinical use. 1973 reported 10 cases of youth treated by him and followed for more than a year