Argon laser therapy for open-angle glaucoma. A pilot study.
Argon laser therapy for open-angle glaucoma. A pilot study.
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氩激光治疗开角型青光眼。
DOI：
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发表时间：
1979
期刊：
影响因子：
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通讯作者：
S. Witter
中科院分区：
文献类型：
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作者：
J. B. Wise;S. Witter
• 对 56 名开角型青光眼患者的小梁网进行 360° 氩激光治疗，使用 1,000 至 1,500 mW、0.10 秒和 50 μ 光束直径的设置进行 100 次烧伤。激光治疗三个月后，41 只眼睛中的 40 只得到了控制，但 27 只眼睛 (65%) 需要一些药物治疗。后期失效不是问题，激光治疗后 3、6、12 和 18 个月的平均压降为 10 mm Hg。没有发生角疤痕或严重并发症。一只有晶状体眼需要额外手术。 15 只无晶状体眼的反应较差，其中 9 只眼睛中有 8 只在激光治疗一年后接受了药物治疗，另外 6 只需要进一步手术。小梁网张力增加是假定的机制。氩激光似乎是有晶状体眼滤过手术的有效替代方案。
• Argon laser treatment was applied 360° to the trabecular meshwork of 56 patients with open-angle glaucoma, using 100 burns at a setting of 1,000 to 1,500 mW, 0.10 seconds, and 50 μ beam-diameter. Forty of 41 phakic eyes were controlled three months postlaser, but 27 eyes (65%) required some medical therapy. Late failure was not a problem, with the same mean pressure drop of 10 mm Hg noted at 3, 6, 12, and 18 months postlaser. No angle scarring or serious complications occurred. One phakic eye required additional surgery. Fifteen aphakic eyes showed less response, with eight of nine eyes on medical therapy one year after laser treatment, and the other six requiring further surgery. Increased tension in the trabecular meshwork is the postulated mechanism. The argon laser appears to be an effective alternative to filtration surgery in phakic eyes.