TREATMENT OF REFRACTORY GLAUCOMA WITH HIGH-INTENSITY FOCUSED ULTRASOUND

被引：0

作者：

VALTOT, F ^{[1
]}

KOPEL, J ^{[1
]}

PETIT, E ^{[1
]}

MOULIN, F ^{[1
]}

HAUT, J ^{[1
]}

机构：

[1] CTR HOSP NATL OPHTALMOL QUINZE VINGTS,28 RUE CHARENTON,F-75012 PARIS,FRANCE

来源：

JOURNAL FRANCAIS D OPHTALMOLOGIE | 1995年 / 18卷 / 01期

关键词：

REFRACTORY GLAUCOMA; TREATMENT; THERAPEUTIC ULTRASOUND; HIGH INTENSITY FOCUSED ULTRASOUND;

D O I：

暂无

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

The efficacy of therapeutic ultrasound was retrospectively assessed in 456 patients who presented with uncontrolled glaucoma refractory to maximal medical therapy and filtration surgery from April 1987 to January 1992. Treatment was performed under local anesthesia in ambulatory outpatients. Therapeutic ultrasound induced local destruction of the ciliary epithelium and a thickening of the sclera. A 47% decrease in intraocular pressure (IOP) was obtained from the mean preoperative (33.8 mmHg) and the mean postoperative (18.2 mm Hg) values. After a 33-month mean follow-up, 65% of treated eyes had an IOP less than or egal to 20 mmHg. Therapeutic ultrasound was effective in most of the glaucomas, especially in open angle, closed angle, aphakic, pseudophakic and post-silicone oil glaucoma. The main complications were immediate ocular hypertension and corneoscleral alterations. Phtysis bulbi occurred in 5.7% of the eyes. The therapeutic interest of ultrasound were compared with those of the other cyclodestruction techniques.

引用

页码：3 / 12

页数：10