目的：观察选择性激光小梁成形术（SLT）治疗激素性青光眼的临床疗效。 方法：对全身激素用药引起的激素性青光眼8例8眼进行房角全周SLT，其中男5例，女3例，年龄55~74（平均65）岁。激素的持续用药时间为11.5±3.3a，给药开始62±2.9a后眼压开始上升，使用2.9±0.5种类的抗青光眼药局部点眼。SLT术后继续点眼治疗和激素口服。 结果：平均眼压术前为26.8±5.1mmHg，SLT术后1mo为20.2±3.2mmHg，术后3mo为17.6±2.2mmHg，术后6mo为16.1±1.4mmHg。各时点的眼压值与术前眼压相比均有显著降低（P＜0.05）。 结论：SLT对于全身激素用药继发的激素性青光眼是一种安全而有效的治疗方法。

AIM:To report the therapeutic effect of selective laser trabeculoplasty (SLT) on steroid-induced glaucoma. METHODS:This study was made on 8 eyes of 8 cases who received SLT for glaucoma secondary to treatment with peroral corticosteroid. The series comprised 5 males and 3 females. The age ranged from 55 to 74 years, average 65 years. Corticosteroid had been prescribed for 11.5±3.3 years. Intraocular pressure (IOP) started to rise after 6.2±2.9 years of treatment. Each case had been treated with 2.9±0.5 topical drugs for glaucoma. Patients had been treated with topical medications and systemic corticosteroid after SLT. RESULTS:IOP averaged 26.8±5.1mmHg before SLT, 202±3.2mmHg after 1 month, 17.6±2.2mmHg after 3 months, and 16.1±1.4mmHg after 6 months. Each postoperative IOP was significantly lower than preoperative one. CONCLUSION:SLT was effective for glaucoma secondary to systemic corticosteroid in the present series.

National Natural Science Foundation of China (No.81000402)