摘要
目的探讨急性闭角型青光眼高眼压状态下手术治疗的可行性。方法37例（39眼）高眼压难以控制的急性闭角型青光眼患者在高眼压状态下进行小梁切除联合虹膜周边切除手术，观察术后恢复情况。结果39眼手术均顺利完成，术中无严重并发症发生。术后随访半年以上，15眼视力不同程度提高，35眼术后眼压控制良好，4眼因晶状体膨胀明显，房角开放不理想，术后眼压仍维持在25～30mmHg，行白内障摘除术后眼压控制。结论对于药物治疗不能有效控制眼压的急性闭角型青光眼患者，在持续高眼压状态下进行手术治疗是可行的。
Objective To explore the feasibility of surgical treatment of acute angle-closure glaucoma with sustained high intraocular pressure. Methods 37 patients （39 eyes） with acute angle-closure glaucoma accepted trabeculectomy and peripheral iridectomy. They visited clinic at acute stage and their intraocular pressures sustained over 40 mmHg even after maximal drug treatment. Results The procedure was successful in al 1 the 39 eyes without severe complications. The patients were followed up for more than half a year and the postoperative IOP was well controlled. The visions were raised in 15 eyes. Conclusion Surgical treatment for the acute angle-dosure glaucoma with sustained high mtraocular pressure is safe and effective.
出处
《山东大学耳鼻喉眼学报》
CAS
2013年第6期85-86,91,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
青光眼
持续高眼压状态
手术
Glaucoma
Sustained high intraocular pressure
Surgury
