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近年来,氩激光小梁成形术治疗慢性开角型青光眼,特别在有晶体眼及老年病例效果明显。目前,已扩大应用于某些类型的继发性青光眼,但效果不如前组。继发性青光眼组包括青光眼滤过手术后失败,而再行抗青光眼手术有困难及并发症较多者。激光在这些眼的应用和可能的疗效是很重要的。作者对13例小梁切除术失败眼行激光小梁成形术,随访最短12个月,最长18个月。本文13例慢性开角型青光眼小梁切除术后用抗青光眼药物均不能控制眼压。患者平均年龄63岁,患眼平均眼压为24mmHg。C值平均为0.11,12例眼压高于21mmHg。
In recent years, argon laser trabeculoplasty for the treatment of chronic open-angle glaucoma, especially in patients with crystalline lens and the elderly effect is obvious. Currently, it has been expanded for some types of secondary glaucoma, but the effect is not as good as the previous group. Secondary glaucoma group, including glaucoma filtration surgery failed, and then anti-glaucoma surgery difficult and more complications. The application of laser light in these eyes and the possible therapeutic effects are important. The author of 13 cases of trabeculectomy failed eye trabeculectomy, the shortest follow-up of 12 months, up to 18 months. In this paper, 13 cases of open angle glaucoma after trabeculectomy with anti-glaucoma drugs can not control intraocular pressure. The average patient age was 63 years with a mean IOP of 24 mmHg. The average C value was 0.11 and the intraocular pressure was higher than 21 mmHg.