前房穿刺放液在ACG持续高眼压下术前降眼压的应用
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:


Applications of anterior chamber paracentesis in acute angle-closure glaucoma sustained high intraocular pressure before surgery to decrease intraocular pressure
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨原发性急性闭角型青光眼(acute angle-closure glaucoma,ACG)急性发作期药物不能控制眼压者联合前房穿刺放房水的降眼压效果。

    方法:回顾性研究2009-01/2012-04 ACG急性发作期药物不能控制眼压后行前房穿刺放液患者48例53眼,观察放液术后眼压水平、视力变化及术后并发症发生情况。

    结果:术后29眼(54.7%)眼压控制在正常范围,22~30mmHg者6眼(11.3%); 眼压>30mmHg者18眼(34.0%)。视力较术前明显提高。并发症有前房变浅53眼(100%)、虹膜嵌顿内口11眼(20.8%)、前房出血4眼(7.5%)。

    结论:对ACG急性发作期药物不能控制者联合前房穿刺放液安全有效,可为进一步的手术治疗创造良好条件。

    Abstract:

    AIM: To evaluate the efficacy of paracentesis of anterior chamber to treat acute angle-closure glaucoma which couldn't controlled by drugs and with persistent ocular hypertension.

    METHODS: A retrospective study in the past 3 years, 48 patients(53 eyes)with acute angle-closure glaucoma were received puncture of anterior chamber when the medicine therapy couldn't lower intraocular pressure. Postoperative IOP, visions and complications were observed.

    RESULTS: IOP was controled normal in 29 eyes(54.7%), IOP: 22mmHg-30mmHg in 6 eyes(11.3%), IOP> 30mmHg in 18 eyes(34.0%). Visual acuity improved significantly. Complications were shallow anterior chamber(100%), incarcerated iris(20.8%), hyphema(7.5%).

    CONCLUSION: When drugs cannot control the IOP in acute angle-closure glaucoma acute exacerbation, anterior chamber paracentesis is a safe and effective in IOP control and good for further surgery.

    参考文献
    相似文献
    引证文献
引用本文

邓秋琼.前房穿刺放液在ACG持续高眼压下术前降眼压的应用.国际眼科杂志, 2013,13(6):1252-1254.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2013-02-04
  • 最后修改日期:2013-05-20
  • 录用日期:
  • 在线发布日期: 2013-06-03
  • 出版日期:
文章二维码