应用OCT评价激光周边虹膜成形联合切除术治疗原发性闭角型青光眼80例效果观察.docVIP

应用OCT评价激光周边虹膜成形联合切除术治疗原发性闭角型青光眼80例效果观察 　　[摘要] 目的 应用光学相干断层扫描技术（OCT）评价激光周边虹膜成形联合切除术治疗原发性闭角型青光眼的效果。方法 随机选择2013年1月―2015年7月期间收治的原发性闭角型青光眼（临床前期）患者80例作为研究对象。该组患者均在该院行激光周边虹膜成形联合切除术治疗，治疗前、治疗1周后、治疗2周后，分别采用OCT和眼科A 超观察患眼眼压及眼前节生物参数。结果 术前眼压为（20.65±1.69）mmHg，术后1周眼压（17.36±2.56）mmHg，术后2个月眼压（16.95±1.32）mmHg，术后1周、2个月，患眼眼压均低于术前，差异有统计学意义（P0.05）；前房角开放度：术后1周、2个月，患眼OA（19.88±4.98、20.75±4.23）均高于治疗前（16.25±4.36），差异有统计学意义（P0.05）。眼前节生物参数：在ACD、CCR方面：术后2个月（2.31±0.21、2.33±0.36）、术后1周（2.33±0.19、2.19±0.14）与术前（1.95±0.25、2.62±0.21）比较，差异有统计学意义（P0.05）。结论 激光周边虹膜成形联合切除术治疗原发性闭角型青光眼（临床前期）疗效较好，采用OCT有助于量化分析该术式。 　　[关键词] OCT；激光周边虹膜成形联合切除术；原发性闭角型青光眼；眼压 　　[中图分类号] R779.63 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0196-03 　　[Abstract] Objective To observe the effect of OCT in evaluating laser peripheral iridoplasty combined with excision in treatment of 80 cases with primary angle-closed glaucoma. Methods 80 cases of patients with primary angle-closed glaucoma （preclinical stage） admitted and treated from January 2013 to July 2015 were selected as the research object， all patients were treated with laser peripheral iridoplasty combined with excision in our hospital， and the intraocular tension and biological parameters of anterior segment were observed by OCT and A-ultrasound in the department of ophthalmology before treatment， after 1 week and 2 weeks of treatment respectively. Results The intraocular tension before operation， at 1 week and 2 months after operation were respectively （20.65±1.69） mmHg， （17.36±2.56） mmHg and （16.95±1.32） mmHg， and the intraocular tension at 1 week and 2 months after operation was lower than that before operation， and the difference was obvious（P0.05）， in terms of the open rate of anterior chamber angle， the OA of the affected eye at 1 week and 2 months after operation was higher than that before treatment [（19.88±4.98）， （20.75±4.23） vs （16.25±4.36）]， and the difference was obvious（P0.05）， in terms of biological parameters of anterior segment， the differences in the ACD and CCR at 2 m