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題名 | 青光眼病人雅克雷射後囊切開術後眼壓的變化=Intraocular Pressure Change after Neodymium-Yag Laser Posterior Capsulotomy in the Glaucomatous Eyes |
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作者 | 蔡振嘉; 賴盈州; 鄧美琴; 蔡世豪; Tsai, Jen-chia; Lai, Ing-chon; Teng, Mei-ching; Tsai, Shin-hou; |
期刊 | 中華民國眼科醫學會雜誌 |
出版日期 | 19970600 |
卷期 | 36:2 1997.06[民86.06] |
頁次 | 頁84-89 |
分類號 | 416.748 |
語文 | chi |
關鍵詞 | 青光眼病人; 雅克雷射後囊切開術; 眼壓; Nd:YAG laser posterior capsulotomy; Glaucoma; |
中文摘要 | 本篇報告收集了40個眼壓控制良好的青光眼病人,共44隻眼睛,觀察接受雅克雷 射後囊切開術1週,3個月,6個月眼壓變化,我們發現雷射後1週眼壓上升的平均值有統計 上的意義,而雷射使用能量的大小、青光眼類型,對雷射後眼壓的上升,均無統計上的差 別,雷射後眼壓上升大於(含)5mmHg者,雷射後1週有12眼(27%),3個月有8眼(18%),6個月 有9眼(20%),雷射後眼壓曾大於(含)22mmHg需比雷射前增加治療以控制眼壓者,雷射後1週 有3眼,3個月有1眼,6個月有眼,雷射前接受過小樑切除術仍需藥物控制眼壓的病人,雷 射後 1 週,3 個月眼壓平均上升值最高, 因此對於青光眼末期病人或接受過小樑切除手術 仍需藥物控制的病人,施行雅克雷射後囊切開術,應注意雷射後眼壓的上升與追蹤。 |
英文摘要 | We retrospectively studied intraocular pressure (IOP) change after Neodymium-YAG laser posterior capsulotomy in 44 IOP well-controlled glaucomatous eyes (40 patients). Mean IOP increased significantly at 1 week postoperatively. The types of glaucoma and total laser energy used all had no singnificant influence on IOP rise after laser posterior capsulotomy. The pateints that need drug control of IOP after trabeculectomy had more significant IOP rise1 week and 3 mohnths after laser capsulotomy than other patiens. There were 12 eyes (27%) at 1 week, 8 eyes (18%) at 3 months, 9 eyes (20%) at 6 months postoperatively that had post-laser IOP rise of more than 5 mmHg. We suggest that it is necessary to follow up IOP closely after Neodymium-YAG laser posterior capsulotomy in glaucomatous eyes, especially in those eyes that still need drug control of IOP after trabeculectomy. |
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