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为探讨预防青光眼患者健眼青光眼急性发作的方法,应用NdYAG激光虹膜切除术替代传统的开放式周边虹膜切除术。选择上方虹膜1100或100或下方虹膜500~700,于虹膜中1/3与外1/3交界处之隐窝区作切口,对单眼典型青光眼急性发作者312例之健眼行上述手术,经8~80个月(平均43个月)随访观察,成功303例(成功率97.1%);失败9例(失败率2.9%),其中3例激光孔封闭、4例非适应证、2例原因不明。结果表明,该疗法经济快捷,安全无痛苦,远期疗效稳定可靠。提示NdYAG激光虹膜切除术可成功地预防健眼闭角型青光眼的急性发作。
To explore the method of preventing acute glaucoma in glaucoma patients, NdYAG laser iridectomy should be used instead of the traditional open peripheral iridotomy. Select the top of the iris 1100 or 100 or below the irises 500 to 700, in the iris 1/3 and 1/3 at the junction of the junction of the recess area of the eyes of a typical glaucoma acute attack 312 cases of eye health the above operation, Eighty-eight months (mean 43 months) were followed up, 303 cases were successful (success rate was 97.1%), 9 cases failed (failure rate was 2.9%), 3 were laser hole closed and 4 were non-indications , 2 cases of unknown cause. The results show that the therapy is economical, safe and painless, long-term efficacy is stable and reliable. Tip NdYAG laser iridectomy can be successfully prevented eye closure angle type acute glaucoma.