目的:评价二极管激光经巩膜睫状体光凝治疗新生血管性青光眼的疗效。方法:对52例诊断为新生血管性青光眼的患者行经巩膜的810nm激光睫状体光凝,能量为1500~3000mW,时间2000ms,范围为24~32点,随访1a,观察其治疗效果。结果:治疗前眼压为(57.78±6.46)mmHg,治疗3d后眼压为(30.8±5.41)mmHg,与治疗前相比,差异显著;随访1a后眼压为(19.44±4.38)mmHg,与治疗前相比,差异显著。所有患者的疼痛均得到缓解或消除。结论:经巩膜睫状体光凝治疗新生血管性青光眼是有效和安全的。
AIM : To evaluate the efficacy of transscleral diode laser cyclophotocoagulation for eyes with neovascular glaucoma. METHODS: Fifty-two eyes with neovascular glaucoma underwent transscleral diode laser cyclophotocoagulation with energy of 1500-3000mW applied for 2000ms. The therapeutic point was from 24 to 32. The patients were followed one year. RESULTS: The mean pretreatment intraocular pressure (lOP) was 57.78 ± 6.46mmHg. On the third day after laser treatment, the lOP was (30.8 ± 5.41 ) mmHg (P 〈 0. 05). A year later, the lOP was ( 19.44 ± 4.38) mm Hg ( P 〈 0.05). In all patients the pain relieved. CONCLUSION: Diode laser contact transscleral cyclophotocoagulation is a safe and effective therapeutic method to neovascular glaucoma.