选择性激光小梁成形术--开角型青光眼或眼压过高治疗的短期疗效和安全性分析。

Romanian journal of ophthalmology Pub Date : 2015-07-01
Dorin Chiselita, Alina Cantemir, Anca Delia Pantalon
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引用次数: 0

摘要

无标签:选择性激光小梁成形术--开角型青光眼或高眼压症治疗的中期疗效和安全性分析:材料和方法:本研究的既定设计是前瞻性和干预性的。患者均有接受SLT治疗的指征,SLT可作为初始治疗方法,也可作为辅助方法,在局部用药无法控制眼压的情况下降低眼压。对患者进行 360 度单次激光治疗。结果显示,1 个月和 3 个月后,眼压分别下降了 22%和 22%:结果:1 个月后的眼压与基线值相比下降了 22.47%,3 个月后下降了 26.58%。眼压动态变化显示,中间值和最终值之间又下降了 5.30%,所有测量参数均有统计学意义(p = 0.001):结论:360 度单次激光治疗是一种安全高效的治疗方法。治疗 1 个月后,眼压明显下降,但效果要持续到治疗后 3 个月。最初的眼压越高,SLT 对降低眼压水平的作用就越大。大多数情况下,LST 有助于控制眼压,但很少能减少或消除青光眼药物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SELECTIVE LASER TRABECULOPLASTY--SHORT TERM EFFICACY AND SAFETY PROFILE IN OPEN ANGLE GLAUCOMA OR OCULAR HYPERTENSION TREATMENT.

Unlabelled: Selective laser trabeculoplasty--medium term efficacy and safety profile in open anlgle glaucoma or ocular hypertension treatment: SLT effect in reducing the intraocular pressure (IOP) in patients with open angle glaucoma or ocular hypertension.

Material and method: 70 eyes from 70 patients were included in the study in 2014 (12 months); the established design for this research was prospective and interventional. Patients received indication for SLT treatment as initial procedure or as adjuvant method in reducing the intraocular pressure when insufficient control with topical medication was noted. A single laser procedure was performed on 360 degrees. The result was verified and compared with baseline values of IOP at 1 month, 3 months respectively.

Results: IOP decreased at 1 month with 22.47% vs. baseline IOP and with 26.58% at 3 months. The IOP dynamics showed an additional 5.30% decrease between the intermediate and final values, with statistical significance for all the measured parameters (p = 0.001).

Conclusion: SLT applied on 360 degrees in a single session represents a safe and efficient procedure. The IOP decrease is marked at 1 month, but the effect continues until later, at 3 months interval after treatment. The higher the initial IOP was, the greater effect SLT has in decreasing the IOP level. Most frequently LST helps control the IOP, but rarely allows reducing or eliminating the glaucoma medication.

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