摘要
目的:探讨有效降低原发急性闭角青光眼急性期高眼压的方法。方法:回顾分析我院2001年6月至2006年6月99例(105眼)原发急性闭角青光眼急性期患者的治疗方法及效果。结果:药物治疗降眼压组共62眼,治疗有效眼为32眼,有效率为51.6%。前房穿刺降眼压组共43眼,治疗有效眼为31眼,有效率为72.1%。两者间差异有统计学意义(χ2=4.43,P<0.05)。结论:前房穿刺术较降眼压药物治疗能更有效更迅速缓解急性闭角青光眼急性期中的高眼压状态,解除极高眼压对视神经造成的严重损害(可短时内造成不可逆损害),为可能需要的进一步手术治疗积极创造了有利条件,因此此类病人可考虑直接使用前房穿刺术降眼压治疗。
Objective： To evaluate the effective way to lower the intraocular pressure （IOP） in the sudden attack of angle closure glaucoma. Methods ： The treatment and effects of 105 patients suffering the sudden attack of angle closure glaucoma from June of 2001 to June of 2006 in my hospital were analyzed retrospectively. Result： 62 eyes underwent therapy of medcine. There were 32 eyes of effective cure, with rate of 51.6%. 43 eyes underwent therapy of anterior chamber penetration. There were 31 eyes of effective cure, with rate of 72.1%. There were significant differences between the two groups （ χ^2=4.43 ,P〈0.05 ）. Conclusion：Anterior chamber penetration reduced the high intraocular pressure more quickly and more effectively than medcine. Penetration can lighten the hard damage on optic nerve caused by high IOP and can make the favorable condition for the following operation which the patients may need. Therefore this kind of patients can take direct anterior chanber penetration.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2009年第8期1121-1122,共2页
Journal of Chongqing Medical University
关键词
急性闭角青光眼
高眼压
前房穿刺术
Angle closure glaucoma
High intraocular pressure
Chamber penetration
