{"title":"手术显微镜下光凝治疗难治性青光眼","authors":"Zhengru Huang","doi":"10.3760/CMA.J.ISSN.2095-1477.2019.11.010","DOIUrl":null,"url":null,"abstract":"Objective \nTo evaluate the efficacy of cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma. \n \n \nMethods \nThe clinical data of 31 eyes of 31 cases with refractory glaucoma from Jan. 2017 to Apr. 2018 in this hospital were analyzed retrospectively. All patients underwent cyclophotocoagulation under operating microscopy via pars plana. The follow-up time was 12 months at least. \n \n \nResults \nPreoperative intraocular pressure (IOP) was (34.8±8.5) mmHg (1 mmHg=0.133 kPa). Postoperative IOP at 1 day, 7 days, 1, 6 and 12 months were (18.5±6.3) mmHg, (17.1±3.7) mmHg, (16.4±2.7) mmHg, (16.2±2.9) mmHg and (16.2±3.2) mmHg, respectively. The difference were statistically significant between before and after operation (P=0.000). The success rate of surgery at the end of follow-up was 74.2%. Postoperative ultrasonic biomicroscopy showed the complete atrophy of ciliary body in the cyclophotocoagulation sites. \n \n \nConclusion \nCyclophotocoagulation under operating microscopy was effective and safe for the treatment of refractory glaucoma. \n \n \nKey words: \nGlaucoma, refractory; Cyclophotocoagulation, under operating microscopy","PeriodicalId":10126,"journal":{"name":"中华眼外伤职业眼病杂志","volume":"46 1","pages":"847-852"},"PeriodicalIF":0.0000,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma\",\"authors\":\"Zhengru Huang\",\"doi\":\"10.3760/CMA.J.ISSN.2095-1477.2019.11.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo evaluate the efficacy of cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma. \\n \\n \\nMethods \\nThe clinical data of 31 eyes of 31 cases with refractory glaucoma from Jan. 2017 to Apr. 2018 in this hospital were analyzed retrospectively. All patients underwent cyclophotocoagulation under operating microscopy via pars plana. The follow-up time was 12 months at least. \\n \\n \\nResults \\nPreoperative intraocular pressure (IOP) was (34.8±8.5) mmHg (1 mmHg=0.133 kPa). Postoperative IOP at 1 day, 7 days, 1, 6 and 12 months were (18.5±6.3) mmHg, (17.1±3.7) mmHg, (16.4±2.7) mmHg, (16.2±2.9) mmHg and (16.2±3.2) mmHg, respectively. The difference were statistically significant between before and after operation (P=0.000). The success rate of surgery at the end of follow-up was 74.2%. Postoperative ultrasonic biomicroscopy showed the complete atrophy of ciliary body in the cyclophotocoagulation sites. \\n \\n \\nConclusion \\nCyclophotocoagulation under operating microscopy was effective and safe for the treatment of refractory glaucoma. \\n \\n \\nKey words: \\nGlaucoma, refractory; Cyclophotocoagulation, under operating microscopy\",\"PeriodicalId\":10126,\"journal\":{\"name\":\"中华眼外伤职业眼病杂志\",\"volume\":\"46 1\",\"pages\":\"847-852\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-11-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华眼外伤职业眼病杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2019.11.010\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华眼外伤职业眼病杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.2095-1477.2019.11.010","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma
Objective
To evaluate the efficacy of cyclophotocoagulation under operating microscopy for the treatment of refractory glaucoma.
Methods
The clinical data of 31 eyes of 31 cases with refractory glaucoma from Jan. 2017 to Apr. 2018 in this hospital were analyzed retrospectively. All patients underwent cyclophotocoagulation under operating microscopy via pars plana. The follow-up time was 12 months at least.
Results
Preoperative intraocular pressure (IOP) was (34.8±8.5) mmHg (1 mmHg=0.133 kPa). Postoperative IOP at 1 day, 7 days, 1, 6 and 12 months were (18.5±6.3) mmHg, (17.1±3.7) mmHg, (16.4±2.7) mmHg, (16.2±2.9) mmHg and (16.2±3.2) mmHg, respectively. The difference were statistically significant between before and after operation (P=0.000). The success rate of surgery at the end of follow-up was 74.2%. Postoperative ultrasonic biomicroscopy showed the complete atrophy of ciliary body in the cyclophotocoagulation sites.
Conclusion
Cyclophotocoagulation under operating microscopy was effective and safe for the treatment of refractory glaucoma.
Key words:
Glaucoma, refractory; Cyclophotocoagulation, under operating microscopy