目的:观察原发性闭角型青光眼激光治疗术后的房角改变,探讨激光治疗术后房用改变及随访的临床意义。方法:62眼(53例)原发性闭角型青光眼,房角关闭小于180°,行激光房角成型术以及激光虹膜切开术,术后用房角镜随访房角变化共22月。结果:在随访期内62眼中有2眼(慢闭青)因为房角进行性关闭,眼压不能控制行小梁切除术,有6眼(慢闭青)房角虽然没有发现明显的进行性关闭,但是激光术后房角开放不明显,需局部用药才能使眼压控制在正常范围。房角成型和虹膜切开术对急闭青和慢闭青的房角有效开放率行x~2检验,结果p=0.0252激光治疗术后两者的房角开放程度有显著性差异。结论:激光房角成型术以及激光虹膜切开术对于早期原发性闭角型青光眼是一种安全有效的治疗方法,但由于原发性闭角型青光眼房角关闭机制的多样性,术后需要密切观察眼压、房角以及视神经和视野的变化。 Objective: To observe the changes of angle of the angle after primary angle-closure glaucoma laser treatment and to discuss the clinical significance of the change and the follow-up of the atrium after laser treatment. METHODS: Totally 62 eyes (53 eyes) with primary angle-closure glaucoma were examined. Angle closure was less than 180 °. Laser angle angioplasty and laser iridectomy were performed. Results: During the follow-up period, 2 eyes (slow greening) in 62 eyes were closed because of the angle closure. Intraocular pressure could not control trabeculectomy. There was no obvious progressive Close, but after the opening of the laser angle is not obvious, local medication needed to make intraocular pressure control in the normal range. Angiography and iris incision on the rapid closure of the green and the slow green room angle opening rate of the line x ~ 2 test, the results p = 0.0252 laser treatment both postoperative angle of opening was significantly different. Conclusions: Laser angle and laser iridectomy are safe and effective treatments for early primary angle-closure glaucoma. However, due to the variety of angle-closure mechanisms in primary angle-closure glaucoma, postoperative Need to closely observe the intraocular pressure, angle and optic nerve and visual field changes.