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首页> 外文期刊>Journal of glaucoma >Transscleral contact krypton laser cyclophotocoagulation for treatment of posttraumatic glaucoma.
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Transscleral contact krypton laser cyclophotocoagulation for treatment of posttraumatic glaucoma.

机译：经巩膜接触k激光循环光凝术治疗创伤后青光眼。

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PURPOSE: To evaluate the usefulness of the krypton laser for transscleral contact cyclophotocoagulation in the treatment of posttraumatic glaucoma. PATIENTS AND METHODS: A total of 18 eyes of 18 patients with therapy-resistant posttraumatic glaucoma treated with krypton laser cyclophotocoagulation from 1991 to 1996 were included in this review. The krypton laser was delivered by a fiberoptic probe with simultaneous compression of the sclera. The energy used was 3 to 5 J per application at the tip of the probe, with an exposure time of 10 seconds. The treatment covered 90 to 360 degrees of the ciliary body with approximately 10 applications per quadrant. RESULTS: With one or more cyclophotocoagulation treatments, the intraocular pressure decreased from the baseline mean (+/- standard deviation) of 32.6 +/- 12.8 mm Hg to 23.6 +/- 10.3 mm Hg (n = 17) at 1 month, to 21.8 +/- 7.5 mm Hg (n = 13) at 3 months, to 22.5 +/- 7.6 mm Hg (n = 13) at 6 months, and to 19.6 +/- 10.5 mm Hg (n = 18) at the last control visit (mean, 19.4 months; range, 3 weeks to 73 months) after cyclophotocoagulation but no other glaucoma procedure. At baseline, 17 (94%) of 18 patients were taking glaucoma medication, as were 15 (83%) of 18 patients at the last control visit. One (6%) case of phthisis occurred. CONCLUSIONS: Krypton laser cyclophotocoagulation is an effective and reasonably well tolerated means of lowering intraocular pressure in posttraumatic glaucoma. Because of the refractory nature of the disease, repeated treatments may be needed.
机译：目的：评估the激光经巩膜接触环光凝治疗创伤后青光眼的有效性。病人与方法：1991年至1996年，对18例经k激光环光凝治疗的难治性创伤后青光眼患者的18眼进行了评估。 a激光是由光纤探针输送的，同时巩膜受压。每次在探头尖端使用的能量为3至5 J，暴露时间为10秒。该治疗覆盖了90至360度的睫状体，每个象限约10次应用。结果：采用一种或多种循环光凝治疗后，眼压在1个月时从基线平均值（+/-标准偏差）32.6 +/- 12.8 mm Hg下降至23.6 +/- 10.3 mm Hg（n = 17），降至3个月时为21.8 +/- 7.5毫米汞柱（n = 13），6个月时为22.5 +/- 7.6毫米汞柱（n = 13），最后一个月为19.6 +/- 10.5毫米汞柱（n = 18）进行循环光凝后进行对照访视（平均19.4个月;范围3周至73个月），但无其他青光眼手术。基线时，18例患者中有17例（94％）服用青光眼药物，最后一次对照访视中18例患者中有15例（83％）服用青光眼药物。发生了1例（6％）的恶臭。结论：K激光循环光凝术是降低创伤后青光眼眼内压的有效且合理耐受的方法。由于该疾病的难治性，可能需要重复治疗。

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