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    Please use this identifier to cite or link to this item: https://ir.fy.edu.tw:8080/ir/handle/987654321/14075


    Title: Long-term outcomes of laser iridotomy in Vietnamese patients with primary angle-closure
    Authors: Pai-Huei Peng;Hannah Nguyen;Huey-Shyan Lin;Ngoc Nguyen;Shan Lin
    Contributors: 輔英科技大學 健康事業管理學位學程
    Date: 2011-09-01
    Issue Date: 2012-07-13 10:48:13 (UTC+8)
    Abstract: Background/aims: To investigate the long-term outcomes of laser peripheral iridotomy (LPI) on controlling intraocular pressure (IOP) and progression of angle closure in Vietnamese.Methods: Medical charts of Vietnamese patients who were diagnosed as having primary angle-closure suspect (PACS), primary angle closure (PAC) or primary angle-closure glaucoma (PACG), and who had received LPI at least 10?years prior, in a single private practice were reviewed. The main outcomes included use of further treatments after LPI, progression rate to another classification category and ocular characteristics associated with progression.Results: 359 patients with a mean follow-up period of 11.8±1.6?years after the LPI were included in this study. The proportion of patients who required additional therapies (medical, laser or surgical) to control IOP were 7.1, 42.4 and 100% in the PACS, PAC and PACG groups, respectively. Fifty-three patients with PACS (22.2%) progressed to PAC; nine patients with PACS (3.8%) progressed to PAC d five PAC patients (5.2%) progressed to PACG. Cataract surgery was a significant factor associated with PACS eyes without progression (p=0.019).Conclusions: Further medications, laser or surgery are frequently required to control IOP after LPI for eyes with PAC, especially for eyes with PACG. Lens extraction seems to play a protective role in PACS eyes. Close follow-up after LPI remains necessary to prevent progression of disease.
    Relation: British Journal of Ophthalmology 95(9),1207-1211
    Appears in Collections:[健康事業管理系] 期刊論文

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