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題名:以接觸式二極體雷射經鞏膜睫狀體光凝固術治療頑抗性青光眼     (12點)
CONTACT DIODE LASER TRANSSCLERAL CYCLOPHOTOCOAGULATION (TSCP) FOR REFRACTORY GLAUCOMA
著者:林彥君(Yen-Chun Lin) ;張雪麗(Shirley H. L. Chang) ;吳秀琛(Shiu-Chen Wu) ;許慶堂(Ching-Tarng Hsu)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:glaucoma ; diode laser ; cyclodestructive procedure ; cyclophotocoagulation
刊名:中華民國眼科醫學會雜誌
卷期:39卷3期(2000.9)
頁碼:257-262
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:評估以接觸式二極體雷射經鞏膜睫狀體光凝固術治療頑抗性青光眼之安全性及有效性 方法:回溯性統計1997年8月至1998年7月期間54例56眼頑抗性青光眼接受G-probe治療之成效。 結果:每一眼燒灼點數平均為27點,範圍大部分為360度,功率2瓦,時間2秒,在平均治療5個月後,平均眼壓由術前的38.58mmHg下降至術後最後一次回診為20.02mmHg。症狀緩解者有48.12%,而青光眼用藥也呈現有意義的減少,自1.96種減少為0.85種。在併發症方面,有7眼前房出血,9眼眼壓過低,1眼眼球萎縮。 結論:本篇顯示以接觸式二極體雷射經鞏膜睫狀體光凝固術治療頑抗性青光眼在短期及中期為一安全有效的方法,然而更長期的療效仍持進一步的追蹤。
To analyze the effectiveness and safety of diode laser TSCP in the treatment of refractory glaucoma, we retrospectively reviewed 56 eyes of 54 patients who had received this treatment by either of 2 operators from August 1997 to July 1998. The mean number of spots was 27, most of treatment ranges were 360°, energy: 2Watts and duration: 2 seconds. After mean follow up time of 5 months, intraocular pressure was reduced from38.58mmHg to 20.02 mmHg, successful rate was 80.36% (defined as IOP reductionш≥20%). About half of the patients got symptom relief, and the medicine needed was also reduced significantly. Few complications were noted, which included hyphema in 7 eyes, hypotony in 9 eyes, and phthisis in 1 eye. This study revealed that diode laser TSCP is effective and safe in the treatment of refractory glaucom in short and mediun term, but long term follow up for further evaluation is needed.


    

本卷期目次
中華民國眼科醫學會雜誌 39卷3期 (2000.9)
視網膜血管阻塞性病變/ 林嘉理
Macular Degeneration/ 李鳳利;整理:林欣怡
THE CLINICAL COURSE AND VISUAL MANAGEMENT OF CONGENITAL MYOPIA/ Yi-Hui ChiangLuke L-K. LinChong-Bin TsaiTzyy-Chang HoYung-Feng ShihPor T. Hung
THE EFFECT OF TROPICAMIDE VERSUS ATROPINE ON THE REFRACTIVE ERRORS OF MYOPIC CHILDREN/ Yi-Chien YangLin-Chung WoungHui-Hsin ChiangJeen-Hon JianYung-Feng Shih
循血綠眼底攝影指引雷射治療老年性黃斑部變性之中心窩外境界不明的脈絡膜新生血管/ 楊昌叔李鳳利林嘉理許紋銘劉榮宏
以接觸式二極體雷射經鞏膜睫狀體光凝固術治療頑抗性青光眼/ 林彥君張雪麗吳秀琛許慶堂
電腦Farnsworth-Munsell氏100-Hue色覺檢查程式及其臨床應用-初報/ 廖旭彬宋湖仙古婉珍
戴安全帽對視野的影響/ 王順弘蔡武甫
以傻瓜相機探測斜視之研究/ 沈秉衡曾崇彥
SERRATIA MARCESCENS CORNEAL ULCER-COMPLICATIONS OF ORTHOKERATOLOGY-A CASE REPORT/ Tung-Mei KuangKo-Hwa ChenTse-Hsiang YehChih-Chiau WuShui-Mei LeeWen-Ming HsuJorn-Hon Liu
IRIDOSCHISIS DEMONSTRATED BY ULTRASOUND BIOMICROSCOPY IN A PATIENT WITH VOGT-KOYANAGI-HARADA SYNDROME--CASE REPORT/ Elizabeth P. ShenChang-Ping LinWei-Lun LanPor T. HungPing-Kang Hou
OPTIC NEURITIS RELATED TO CHRONIC INFLAMMATORY DEMYELINATING POLYNEUROPATHY-A CASE REPORT/ Der-Chong TsaiPo-Kang LinKon-Ping LinKo-Pei KaoJorn-Hon Liu
GENOTYPIC DRIFT OF MITOCHONDRIAL DNA IN A PATIENT WITH LEBER'S HEREDITARY OPTIC NEUROPATHY/ May-Yung YenJorn-Hon LiuYau-Huei Wei
蜜峰螫傷角膜-病例報告/ 林正明蔡宜佑
羊膜應用於濾泡滲漏的修補術-病例報告/ 王文正蔡宜倫郭麗琳
外傷性結膜下水晶體移位-病例報告/ 邱仁宏李安斐蔡景耀李鳳利劉榮宏
同側半盲和威而剛-病例報告/ 黃峻峰鄭俊彥林清澤
多發輝閃性白點症候群-12病例報告/ 黃舜平林伯剛李安斐張由美許紋銘劉榮宏
FROSTED BRANCH ANGIITIS病例報告/ 詹維鈞陳立仁
高壓氣體引起的創傷性眼眶氣腫/ 郭麗君林建廷林正明蔡宜佑
 
   
 
   

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