摘要
目的探讨急性闭角型青光眼持续高眼压状态下手术前与手术中进行前房穿刺对于小梁切除术的疗效影响。方法回顾研究急性闭角型青光眼眼压经药物控制不良呈持续高眼压的患者,A组为手术前1～2天前房穿刺降眼压正常后再行小梁切除术;B组为手术中行前房穿刺降眼压后立即行小梁切除术,对两组患者手术后进行临床疗效对比观察。结果 A、B两组术后视力均有明显提高,两组间比较有明显差异;术后降眼压效果比较,A组患者达到治愈标准的明显高于B组,差异有统计学意义(P<0.05);A组功能性滤过泡较B组多,差异有统计学意义;术后浅前房发生两组无明显差异,A、B两组术后炎症反应有明显差异(P<0.05)。结论持续高眼压的急性闭角型青光眼在小梁切除手术前1～2天进行前房穿刺,手术成功率更高,手术并发症更低,值得推广应用。
Objective To investigate the efficacy of paracentesis of anterior chamber in preoperative and intraoperative application for trabeculectomy in treatment of acute angle - closure glaucoma with persistent high intraocular pressure. Methods We retrospectively analyzed the cases of acute angle - closure glaucoma with sustained high intraocular pressure which couldn＇t be controlled by medication, thus underwent trabeculectomy. These cases were divided into two groups, In group A, trabeculectomy was performed when IOP returned to normal 1 - 2 days after paracentesis of anterior chamber. In group B, trabeculectomy was performed immediately after IOP slowly lowering by paracentesis of anterior chamber. Surgery outcomes of both groups were compared. Results Postoperative visual acuity were improved obviously in group A and B. There was significance different between the two groups. As for effect of postoperative IOP lowering, group A achieved a significant （ P 〈 0. 05） high cure result than group B. The rate of functional filter blebs formed in group A was better than those in group B, and the difference was significant. There was no significant difference in postoperative shallow anterior chamber between them. There was significant difference （ P 〈 0.05 ） in postoperative inflammatory in both groups. Conclusion Paracentesis of anterior chamber performed 1 - 2 days before trabeculectomy in treatment of acute angle closure glaucoma with persistent high intraocular pressure could improve success rate, lessen operation complications.
出处
《医学研究杂志》
2013年第5期170-173,共4页
Journal of Medical Research
关键词
前房穿刺
小梁切除术
急性闭角型青光眼
持续高眼压
Paracentesis of anterior chamber
Trabeculectomy
Acute angle - closure glaucoma
Persistent high intraocular pressure
