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題 名 | 釹雅克雷射穿鞏膜睫狀體光熱凝術治療頑強性青光眼之長期療效 |
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作 者 | 劉瑞玲; 蔡傑智; 梁如蘭; 周清光; 劉榮宏; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 34:2 1995.06[民84.06] |
頁 次 | 頁31-39 |
分類號 | 416.748 |
關鍵詞 | 釹雅克雷射穿鞏膜睫狀體光熱凝術; 青光眼; Neodymium; YAG laser; TSCP; Uncontrolled glaucoma; Phthisis bulbi; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇研究以回溯性的方法探討釹雅克雷射穿鞏膜睫狀體光熱凝術 (Nd-YAG TSCP)於臨床上治療頑強性青光眼的長期療效。共收集了過去七年多以 來於台北榮總接受非接觸欽雅克雷射穿鞏膜睫狀體光熱凝術的96隻患眼,全部都 是藥物控制不良,手術效果不彰的頑強性青光眼。追蹤期間由1個月到90個月不 等,平均為25.9個月。經過TSCP治療後眼壓平均值由術前的36.4±12.6mmHg降到 術後的19.6±11.1mmHg,下降幅度為46.2。平均青光眼用藥數目也由術前的2.1降 到術後的1.2。其中眼壓控制良好者(即眼壓控制在5mmHg到21mmHg之間)共51 例,佔53。眼壓控制不良者,包括眼壓大於21mmHg者有37例,佔39;和眼壓小於 5mmHg者有8例,佔8。我們發現術後眼壓控制良好者,其年紀較輕、術前青光眼 用藥較少,且為接受過自內障手術的比例較高。術前視力優於O.1者僅有10例, 有兩例術後視力在Snellen's Chart檢查方面減退了兩行以上。術後有14例視力減退 為無光感,這14例術前的視力都小於0.05。最後發生眼球萎縮的有14例(14.6)。 Nd-YAG TSCP在治療頑強性青光眼方面,有其固有的重要性及適用性。然其本質 乃是一種破壞性的治療,使用上必須謹慎。 |
英文摘要 | We retrospectively studied the outcome of 96eyes which had undergone noncontact Nd-YAGtransscleral cyclophotocoagulation (TSCP) foruncontrolled glaucoma. The mean preoperativeintraocular pressure (IOP) of 36.4 mrnHg with anaverage of 2.1 medications decreased to 19.6 mmHgwith an average oif 1.2 medications during the averagefollow-up of 25.9 months (range, I to 90 months).Retreatment was required in 16 of the 96 eyes(16.7). Good IOP control (i.e. 5 to 21 mmHg) wasachieved in 51 eyes (53 ), while 37 eyes (39 )still had IOP greater than 21 mmHg and 8 eyes (8 )had IOP less than 5 mmHg. Younger patients, patients with fewer preoperative glaucoma medications or aphakic patients had a better controll ofpostoperative IOP. Phthisis buibi developed in 14eyes (14.6 ). Two of ten eyes with preoperativevisual acuity of 6/60 or better lost 2 or more Snellenlines. Fourteen eyes, all with initial visual acuity of0.05 or worse, progressed to no light perception. The study showed Noncontact Nd-YAG TSCPseems to be an effective method of controlling IOPin uncontrolled glaucoma over long term follow-up.We suggested it should only be done after medicationsand filtering surgery failed to control IOP, since it isa destructive procedure in itself. |
本系統中英文摘要資訊取自各篇刊載內容。