摘要
目的探讨持续高眼压下行小梁切除联合前房穿刺术治疗急性闭角型青光眼的手术特点及治疗效果。方法对54只眼(46例)眼压控制不良的原发性急性闭角型青光眼患者行小梁切除联合前房穿刺术。结果术后随访6～18个月,54眼手术顺利。其中有47眼术后不用抗青光眼药物,眼压能控制在10～21mmHg,7眼加用降眼压药物眼压控制正常;44眼视力有所提高,无严重并发症。结论急性闭角型青光眼持续高眼压状态下的小梁切除联合前房穿刺术是安全有效的,对持续高眼压状态下的病例应积极采用手术治疗,以避免视功能的进一步损害。
Objective To observe the points and effects of combining trabeculectomy and paracentesis of anterior chamber for treating acute angle-closure glaucoma with persistent ocular hypertension. Methods 54 eyes （46cases） of uncontrolled acute angle-closure glaucoma were treated by combining trabeculectomy and paracentesis of anterior chamber. In the follow-up of 6- 18 months after surgery. Results The operation of 54 eyes was successful. The IOP was less than 21mmHg in 47 eyes without any antiglaucoma-drug and in 7 eyes with lower LOP drugs. The visions of 44 eyes were raised. There were no serious complications. Conclusion Combining trabeculectomy and paracentesis of anterior chamber for treating acute angle-closure glaucoma with persistent ocular hypertension is safe and effective. To keep the visual function from more damage,It should be performed for these patients actively
出处
《中国现代医生》
2009年第18期81-82,共2页
China Modern Doctor
关键词
急性闭角型青光眼
高眼压
小梁切除术
前房穿刺
Acute angle-closure glaucoma
Ocular hypertension
Trabeculectomy
Paracentesis of anterior chamber
