眼内窥镜下激光睫状体光凝术治疗难治性青光眼疗效评价_余敏斌.pdfVIP

2006 1 42 1　Chin JOphthalmo,l January 2006, V ol42, No.1 27 余敏斌　黄圣松　葛坚　郭疆　方敏 　　【】　　(endoscopic cyclophotocoagulation, ECP) 。　 Endo Optiks U AM-E2 47 (51 ) ECP( 4 2), 、 , 6 ～ 16, 10.8。 　51 (35.3±13.0)mm Hg(1mm Hg=0.133 kPa), 1(19.9±13.2)mm Hg, 1 (22.0±11.6)mm Hg, 3(17.6±11.6)mm Hg, 6 (17.0±10.4)mm Hg, 、(P0.01)。 3.3 , 1.0, (P0.01)。, ≤ 21mm Hg 26, 51.0%;, ≤ 21mm Hg 13, 25.5%。 , (P0.01)。 51, 4, 2 ～5 d; 23, 1;2 , 7、16 d。 、、、、。　ECP , , 。 ECP 。 (, 2006, 42:27-3 1 ) 【】　;　;　;　 The c lin ical study of endoscop ic cy clophotocoagulation on the m anagem en t of refractory glaucom a YU M in-bin, HUAN G Sheng-song, GE J ian, GUO J iang, FAN G M in.Z hongshan Oph ha ml ic C en er, Sun Ya-sen Un iversiy, Guangzhou 5 10060, Ch ina Corresp ond ing au hor:YU M in-bin, Ema il:m ax-y u@om .com 【A b stract】　O b jective 　To evaluate the efficacy and safety of endoscopic cyclophotocoagulation (ECP)in themanagement of refractory glaucoma.M e thods　ECP procedureswere performed on fifty-one eyes of 47 patientswith refractory glaucoma by using theM icroprobe (Endo Optiks, U AM E2)integrated laser endoscope system.A ll patientswere followed-up from 6 to 16 months (mean 10.8 months), w ith four eyes receiving a second treatment. The changes of intraocular pressure (IOP ), visual acuity and complication were pre-and pos-toperatively observed. R esu lts　Compared to preoperation, the IOP of postoperationwas significantly (P 0.01)decreased atweek 1, 4, 12, and 24[(35.3 ±13.0)mm Hg (1mm Hg=0.133 kPa)vs(19.9 ±13.2)mm Hg, (22.0 ±11.6)mm Hg, (17.6 ±11.6)mm Hg, and (17.0±10.4)mm Hg, –x ±s, respectively] .Themean number of IOP-decreased drugsusedwas significantly (P0.01)reduced from 3.3 to 1.0 of postoperation.51.0% of all51 eyeswith the postoperative IOP less than 21mm Hg did not receive any drug, and 25.5% with supplementaldrug