摘要
目的研究激光虹膜根切术对原发性急性闭角型青光眼(APACG)缓解期患者眼压及中央前房深度的影响,为临床治疗提供参考。方法随机选取2013年5月至2016年6月惠州市第一人民医院门诊治疗的APACG缓解期患者100例,依随机表对照法分为治疗组50例和对照组50例。两组患者均接受视力检查,停用降压药物5 d后测量眼压及房水流畅系数,治疗组接受激光虹膜根切术治疗,对照组接受激光周边虹膜成形术治疗。治疗前后3 d进行超声生物显微镜(UBM)检查,并且于治疗后2 h、6 h及3 d时测量眼压。结果治疗后治疗组患者视力恢复优于对照组,差异有统计学意义(P<0.05);治疗3 d后治疗组眼压优于对照组,差异有统计学意义(P<0.05);治疗组中央前房深度比对照组深,差异有统计学意义(P<0.05)。结论 APACG患者经激光虹膜根切术较经激光周边虹膜成形术后眼压稳定,视力更好,中央前房深度更深,并且激光虹膜根切术能有效解除瞳孔阻滞。
Objective To investigate the effect of laser iridotomy on intraocular pressure （IOP） and central anterior chamber depth in patients with primary acute angle closure glaucoma （APACG） and provide reference for clinical treatment. Methods A total of 100 patients with primary acute angle-closure glaucoma were enrolled in our hospital from May 2013 to June 2016, and randomly divided into group A （50 cases） and group B （50 cases）. Two groups of patients underwent visual examination. IOP was measured five days after discontinuation of antihypertensive drugs. Group A was treated with laser iridotomy and group B underwent laser peripheral iridoplasty. Ultrasound biomieroscopy （UBM） was performed 3 days before and 3 days after treatment, and intraocular pressure was measured at 2 h, 6 h and 3 d after treatment. Results After treatment, the visual acuity of group A was better than that of group B ; the difference was statistically significant （P〈0.05） ; the intraoeular pressure of group A was significantly lower than that of group B, especially after treatment for 3 d （P〈0.05）. The intraocular pressure of group A was significantly lower than that of group B （P〈0.05）. The central anterior chamber depth of the two groups was improved after UBM examination, but the central anterior chamber depth of group A was significantly deeper than that of group B （P〈0.05）. Conclusions Patients had more stable intraoeular pressure, better visual acuity and deeper central anterior chamber after laser iridotomy treatment than that of laser peripheral iridoplasty treatment. Laser iridotomy treatment could also effectively relieve pupillary block.
出处
《热带医学杂志》
CAS
2017年第4期507-509,共3页
Journal of Tropical Medicine
基金
惠州市科技计划项目(2016Y085)
关键词
激光虹膜根切术
原发性急性闭角型青光眼
眼压
中央前房深度
Laser iridotomy
Primary acute angle-closure glaucoma in remission
Intraocular pressure
Central anterior chamber depth
