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目的探讨半导体、YAG激光360°虹膜周边成形术联合虹膜周边切除术对闭角型青光眼的疗效。方法对96例151眼闭角型青光眼行半导体激光360°虹膜周边成形术联合YAG虹膜周边切开术。结果激光孔通畅100%,其中治愈115眼,好转34眼,其中3眼需两种以上眼药控制,2眼需行手术治疗。房角开放,周边前房加深,术前术后比较,有显著差异性(P<0.01)。不良反应有术后暂时性眼压升高,术中虹膜出血,角膜灼伤,前部色素炎性反应等。结论联合激光360°虹膜周边成形术及虹膜周边切除术,操作简单。效果确切,并发症少,是治疗闭角型青光眼的理想术式。
Objective To investigate the curative effect of semi-conductor, YAG laser 360 ° iris peripheral angioplasty combined with iridectomy on angle-closure glaucoma. Methods 96 cases of 151 eyes with angle-closure glaucoma underwent semi-conductor laser 360 ° iris peripheral angioplasty combined with YAG iris peripheral incision. Results The laser hole was 100% smooth, of which 115 eyes were cured and 34 eyes were improved. Among them, 3 eyes needed more than two kinds of ophthalmic drugs and 2 eyes needed surgical treatment. There was a significant difference in the angle of opening of the anterior chamber and the surrounding anterior chamber (P <0.01). Adverse reactions were postoperative transient intraocular pressure, intraoperative iris bleeding, corneal burns, anterior inflammatory reaction and so on. Conclusion The combination of 360 ° iris peripheral angioplasty and iris excision is simple and easy to operate. The exact effect, fewer complications, is the ideal treatment for angle-closure glaucoma surgery.