国际眼科杂志2026，Vol.26Issue(4)：706-710,5.DOI:10.3980/j.issn.1672-5123.2026.4.26
小剂量睫状体光凝治疗闭角型青光眼持续高眼压的短期疗效探讨
Short-term efficacy of low-dose transscleral cyclophotocoagulation for persistent ocular hypertension in acute angle-closure glaucoma
摘要
Abstract
AIM:To evaluate the safety and efficacy of low-dose transscleral cyclophotocoagulation(TSCP)in the management of persistent ocular hypertension after an acute attack of angle-closure glaucoma(AACG). METHODS:This retrospective study enrolled patients diagnosed with persistent ocular hypertension after an acute AACG attack at the No.988 Hospital of the Joint Logistics Support Force of the Chinese PLA between September 2023 and September 2024.All patients underwent low-dose TSCP using a semiconductor diode laser.Subsequent cataract surgery combined with goniosynechialysis was performed once intraocular pressure(IOP)was stabilized.Changes in anterior chamber depth(ACD),best-corrected visual acuity(VA),and IOP were compared before and after TSCP,as well as before and after phacoemulsification.Post-TSCP complications were also documented. RESULTS:A total of 21 patients(21 eyes)were enrolled,including 8 males and 13 females,with a mean age of 67.95±7.25 y.Compared with pre-cyclophotocoagulation values,ACD increased significantly at 3 d post-TSCP(1.49±0.18 vs 1.22±0.21 mm;P<0.001).BCVA and IOP decreased significantly at 1 d post-TSCP,pre-phacoemulsification,1 wk post-phacoemulsification,and 1 mo post-phacoemulsification compared with pre-TSCP IOP(all P<0.01).Regarding postoperative complications,2 eyes experienced pain on the day of the procedure,5 eyes developed mild corneal endothelial folds,2 eyes exhibited moderate anterior chamber inflammatory reaction,and 12 eyes showed shallow ciliary body detachment.No serious complications occurred during the 1-month follow-up period. CONCLUSION:Low-dose TSCP appears to be an effective bridging therapy for patients with persistent ocular hypertension following an AACG attack.It facilitates rapid IOP reduction,alleviates symptoms,and helps preserve visual function with a favorable safety profile,thereby reducing the risks associated with subsequent intraocular surgery.关键词
小剂量经巩膜二极管激光睫状体光凝术/闭角型青光眼/持续高眼压/前房深度Key words
low-dose transscleral diode lasercyclophotocoagulation/angle-closure glaucoma/persistent ocular hypertension/anterior chamber depth引用本文复制引用
李巧云,贾雍,张百珂,郭晓静,卢聪,魏新丽,田学敏..小剂量睫状体光凝治疗闭角型青光眼持续高眼压的短期疗效探讨[J].国际眼科杂志,2026,26(4):706-710,5.基金项目
河南省医学科技攻关计划联合共建项目(No.LHGJ20240985) Joint Construction Project of Henan Medical Science and Technology Research Plan(No.LHGJ20240985) （No.LHGJ20240985）
