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目的观察360°全周选择性激光小梁成形术(SLT)治疗药物控制不理想的原发性开角型青光眼的临床疗效。方法选择16例(20只眼)原发性开角型青光眼患者,经局部降眼压药物治疗后,眼压控制不理想行SLT治疗,观察SLT治疗前与治疗后1 h、1 d、1周及1个月、3个月、6个月的眼压情况,以及视力、视野改变、并发症情况。结果 16例20只眼药物控制不良的原发性开角型青光眼患者,在行SLT治疗术中、术后无严重并发症发生,术后6个月眼压平均下降(5.23±2.02)mm Hg;视力与术前未见明显改变,视野未见进行性进展。结论对于药物控制不理想的原发性开角型青光眼,行SLT治疗可有效降低眼压,无严重并发症发生,是一种安全、有效的治疗方法。
Objective To observe the clinical effect of 360 ° selective laser trabeculoplasty (SLT) in the treatment of primary open-angle glaucoma with poorly controlled drugs. Methods Twenty-six patients (20 eyes) with primary open-angle glaucoma were treated with local intraocular hypotensive drug (IOP). The intraocular pressure (IOP) was not ideal for SLT treatment. The levels of IL-1 and IL- Week and 1 month, 3 months, 6 months of intraocular pressure, as well as visual acuity, visual field changes, complications. Results Sixteen patients with primary open-angle glaucoma who had undergone poor drug control were treated with SLT. No serious complications occurred after operation. The intraocular pressure decreased by 5.23 ± 2.02 mm Hg ; Visual acuity and no significant change before surgery, visual field no progress. Conclusions For primary open-angle glaucoma with poor drug control, SLT can effectively reduce intraocular pressure without serious complications and is a safe and effective treatment.