目的:评价选择性激光小梁成形术对进展期青光眼的治疗效果。方法:对26例36眼房角开放的进展期的开角型青光眼和继发性青光眼患者,选用激光小梁成形术进行治疗。测量激光前及激光术后不同时间的眼压并进行统计学分析,观察激光前后视力、眼底、视野和局部用药量的变化。结果:患者术前眼压24.44±5.55mmHg,术后1h为24.22±6.32mmHg,无统计学差异;术后1d;1wk;1,2,3,6,9,12mo眼压下降,与术前有统计学差异(P<0.01)。术前患者杯盘比为0.75±0.16,术后6mo为0.76±0.14,无统计学差异;术后12mo为0.77±0.15,与术前比较有统计学差异(P<0.05)。术前用药平均为1.69±0.58种,术后6mo内用量下降,有统计学差异;9,12mo用药量上升,与术前比较无统计学差异(P<0.05)。视力、视野术前术后无进展。结论:激光小梁成形术可以有效地降低进展期青光眼患者的眼内压。

AIM:To evaluate the therapeutic effect of selective laser trabeculoplasty (SLT) for glaucoma evolutum.·METHODS:Totally 36 eyes diagnosed with glaucoma evolutum were treated with SLT. Intraocular pressure (IOP),visual acuity,C/D,visual field and the change of drugs were observed at different time.·RESULTS:The IOP changed from 24.44±5.55mmHg preoperatively to 24.22±6.32mmHg at the postoperative hour 1; in the postoperative day 1,week 1,month 1,2,3,6,9 and 12,the IOP decreased and showed statistical significance. The C/D changed from 0.75±0.16 preoperatively to 0.76±0.14 at the postoperative month 6 and showed no statistical significance. The number of drugs decreased in the postoperative month 6 and showed statistical significance,but at the postoperative month 9,12 the number of drugs increased and showed no statistical significance. There was no significant difference in visual acuity and visual field between the preoperation and postoperation.·CONCLUSION:SLT is an effective method for decreasing the IOP in glaucoma evolutum.

R779.63