摘要
目的探讨小梁切除联合前房穿刺术治疗急性闭角型持续高眼压型青光眼的手术特点及治疗效果。方法对64只眼（56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，术后随访6～18个月。结果64眼手术顺利；其中有55眼（85．9％）术后不用抗青光眼药物，眼压能控制在10～21mmHg，9眼（14．1％）加用降眼压药物眼压控制正常；53眼（82．8％）视力有所提高，11眼（17．8％）视力无变化或下降；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患者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 64 eyes （ 56 cases） of uncontrolled acute angle - closure glaucoma were treated by combining trabeculcctomy and paracentesis of anterior chamber. In the follow - up of 6 - 18 months after surgery. Results The operation of 64 eyes was successful. The lOP was less than 21 mmHg in 55 eyes （85.9%）without any antiglaucoma - drug and in 9 eyes （ 14. 1% ） with lower LOP drugs. The visions of 53eyes（ 82.8% ） were raised. There were no serious complications. Conclusions 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
《中外医学研究》
2009年第10期20-21,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
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 hvoertension
trabeeulectomv
Paraeentcsis of anterior chamber
