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AIM: To evaluate the effects of Q-switched Nd: YAG laser iridotomies for the angle-closure glaucoma. METHODS: We observed 212 patients (236 eyes) of angle-closure glaucoma in out-patient clinic or hospital, including 204 patients (228 eyes) of primary angle-closure glaucoma, and 8 patients (8 eyes) of secondary glaucoma following uveitis. All patients' intraocular pressure (IOP) were measured before and after the Q-switched Nd: YAG laser iridotomies, and the clinical effects after the operation were evaluated. RESULTS: Patients were followed up for 3-24 months, the average IOP before the Q-switched Nd: YAG laser iridotomies was 21.36mmHg, and 19.25mmHg after the operation. 219 eyes' IOP were in good control, the effective rate was 92.8%, and 11 eyes were in good control with medication, the rate was 4.7%, 6 eyes were in bad control after the second Q-switched Nd: YAG laser iridotomies, the rate was 2.5%, and treated with trabeculectomy. The anterior chamber was deepened, the anterior chamber angle was widened, and the field of vision didn't obviously changed after the operation. CONCLUSION: The Q-switched Nd: YAG laser iridotomies is safe and effective for the angle-closure glaucoma. LA: Chinese
Q.-P. Xue. Department of Ophthalmology, Third People's Hospital, Luohe 462000, Henan Province, China. xueqp3766@qq.com
12.2 Laser iridotomy (Part of: 12 Surgical treatment)
9.3.2 Chronic primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)