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目的探讨周边虹膜切除术联合激光周边虹膜成形术治疗房角粘连大于180°小于200°的慢性闭角型青光眼的疗效。方法对48例(48眼)房角粘连大于180°小于200°的原发性慢性闭角型青光眼,行周边虹膜切除术后联合激光周边虹膜成形术。结果随访3~24个月,平均1.1年。48例(48眼)获得满意疗效,随访期间未发生高眼压,眼压由(38.0±5.2)mmHg降至(16.7±2.3)mmHg。周边前房加深,房角增宽,有效防止房角进一步粘连。结论周边虹膜切除术联合激光周边虹膜成形术是房角粘连大于180°小于200°的慢性闭角型青光眼的安全有效的降低眼压的方法。
Objective To investigate the effect of peripheral iridotomy combined with laser peripheral iridoplasty in the treatment of chronic angle-closure glaucoma with anterior chamber angle greater than 180 ° and less than 200 °. Methods Forty - eight eyes (48 eyes) with primary angle - closure glaucoma larger than 180 ° and less than 200 ° were treated with peri - iridectomy combined with laser peripheral iridoplasty. The results were followed up for 3 to 24 months, an average of 1.1 years. 48 patients (48 eyes) got satisfactory curative effect. Intraocular pressure was not observed during follow-up. The intraocular pressure decreased from (38.0 ± 5.2) mmHg to (16.7 ± 2.3) mmHg. Peripheral anterior deepening, widening of the angle, effectively prevent further adhesion angle. Conclusion Peripheral iridotomy combined with laser peripheral iridoplasty is a safe and effective method to reduce intraocular pressure in patients with chronic angle-closure glaucoma greater than 180 ° and less than 200 °.