摘要
目的:探讨原发性急性闭角型青光眼(acuteangle-closure glaucoma,ACG)急性发作期药物不能控制眼压者联合前房穿刺放房水的降眼压效果。方法:回顾性研究2009-01/2012-04ACG急性发作期药物不能控制眼压后行前房穿刺放液患者48例53眼,观察放液术后眼压水平、视力变化及术后并发症发生情况。结果:术后29眼(54.7%)眼压控制在正常范围,22～30mmHg者6眼(11.3%);眼压>30mmHg者18眼(34.0%)。视力较术前明显提高。并发症有前房变浅53眼(100%)、虹膜嵌顿内口11眼(20.8%)、前房出血4眼(7.5%)。结论:对ACG急性发作期药物不能控制者联合前房穿刺放液安全有效,可为进一步的手术治疗创造良好条件。
AIM ： To evaluate the efficacy of paracentesis of anterior chamber to treat acute angle-closure glaucoma which couldn＇t controlled by drugs and with persistent ocular hypertension. METHODS： A retrospective study in the past 3 years, 48 patients （53 eyes） with acute angle-closure glaucoma were received puncture of anterior chamber when the medicine therapy couldn＇t lower intraocular pressure. Postoperative lOP, visions and complications were observed. RESULTS： lOP was controled normal in 29 eyes （54.7%）, IOP： 22mmHg-30mmHg in 6 eyes （11.3%）,IOP〉 30mmHg in 18 eyes （34. 0%）. Visual acuity improved significantly. Complications were shallow anterior chamber （100%）, incarcerated iris （20. 8%）, hyphema （7.5%）. CONCLUSION： When drugs cannot control the lOP in acute angle- closure glaucoma acute exacerbation, anterior chamber paracentesis is a safe and effective in lOP control and good for further surgery.
出处
《国际眼科杂志》
CAS
2013年第6期1252-1254,共3页
International Eye Science
关键词
青光眼
眼内压
前房穿刺
glaucoma
intraocular pressure
anterior chamber paracentesis
