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为了探讨治疗闭角型青光眼的理想术式，对１５１例２００只原发性急、慢性闭角型青光眼，部分混合型青光眼行联合激光周边虹膜切除术。先用氖激光在术眼虹膜面作分层击射，达２／３～３／４基质层厚；然后用掺钕钇铝石榴石激光（ｎｅｅｄｙｍｉｕｍ：ｙｔｔｒｉｕｍａｌｕｍｉｎｕｍｇａｒｎｅｔ，Ｎｄ：ＹＡＧ）作穿透击射。虹膜透切率为１００．０％，１次透切成功率为９５．０％，术中、术后并发症的发生率明显较单独术式低。随访时间在２年以上者为１６１只眼。随访结果表明联合激光手术的远期疗效显著，是适宜于亚洲人虹膜特点的较为理想术式，建议在门诊推广应用。
In order to explore the ideal surgical treatment of angle-closure glaucoma, 151 cases of 200 primary acute and chronic angle-closure glaucoma, partial mixed glaucoma with laser peripheral iridotomy. First, neon laser was applied to the iris surface of the eye to make a 2/3 to 3/4 matrix layer thickness. Then, a neodymium-doped yttrium aluminum garnet laser (needymium: yttriumaluminumgarnet, Nd: YAG) . The iris penetrating rate was 100.0% and the success rate of one pass was 95.0%. The incidence of intraoperative and postoperative complications was significantly lower than that of single operation. Follow-up time of 2 years or more were 161 eyes. The follow-up results show that the long-term curative effect of the combined laser surgery is significant and is an ideal surgical procedure suitable for the Asian iris. It is suggested to be popularized and applied in the clinic.