摘要
目的:探讨前房穿刺放液术治疗高眼压持续状态的疗效。方法:对36例高眼压持续状态的患者,其中急性闭角型青光眼急性发作期16例,慢性闭角型青光眼4例,新生血管性青光眼5例,外伤性前房出血性青光眼5例,年龄相关性白内障膨胀期2例,白内障术后高眼压4例。在应用常规降眼压药物治疗后仍不能有效降低眼压者,采用在裂隙灯显微镜前行前房穿刺术放液术。结果:所有患者经前房穿刺放液后眼压迅速降低,眼痛头痛缓解。并发症有前房出血5例,虹膜与穿刺口粘连2例,晶状体损伤1例。结论:前房穿刺术是治疗高眼压持续状态的简单有效的方法,可以避免长期大量使用全身降眼压药物的副作用,迅速缓解症状,减轻高眼压对视功能的损害。
AIM：To observe the therapeutic effect of anterior chamber paracentesis in glaucoma patients with sustained high intraocular pressure（IOP）.METHODS：Thirty-six cases of glaucoma patients with sustained high intraocular pressure,including 16 cases of acute angle-closure glaucoma in acute outbreak period,4 cases of chronic angle-closure glaucoma,5 cases of neovascular glaucoma,5 cases of glaucoma secondary to traumatic hyphema,2 cases of age-related cataract at intumescent stage and 4 cases of glaucoma after cataract surgery.Using slit lamp microscope,anterior chamber paracentesis was performed when the IOP can not decrease effectively after conventional drug therapy.RESULTS：The IOP in all the patients decreased rapidly after anterior chamber paracentesis,with the relief of eye pain and headache at the same time.Complications were hyphema in 5 cases,adhesion of iris and cornea puncture site in 2 cases and lens injury in 1 case.CONCLUSION：Anterior chamber paracentesis is a simple,rapid and effective treatment to the glaucoma patients with sustained high intraocular pressure,which can reduce the visual function damage,and avoid the side effects of long-term use of systemic hypotensive drugs.
出处
《国际眼科杂志》
CAS
2011年第10期1823-1824,共2页
International Eye Science
关键词
青光眼
高眼压
前房穿刺术
glaucoma
intraocular pressure
anterior chamber paracentesis
