改良前房穿刺术在急性闭角型青光眼持续高眼压中的应用

目的:探讨改良前房穿刺术处理急性闭角型青光眼持续高眼压状态下的疗效。方法:对33例33眼急性闭角型青光眼急性发作患者(术前眼压均>60mmHg)在应用常规降眼压药物治疗未能有效降低眼压后,采用改良前房穿刺术,放出房水。结果:所有患者经改良前房穿刺放液后高眼压及眼痛迅速缓解,视力有不同程度的提高,术后眼压平均为15mmHg,未发生与前房穿刺有关的并发症。结论:改良前房穿刺术处理急性闭角型青光眼持续高眼压,损伤小、反应轻、简便高效,可以避免长期大量应用降眼压药物引起的副作用,迅速降低眼压,可以缓解患者痛苦,减轻因高眼压造成的视功能损害。

Application of modified anterior chamber penetration in acute angle-closure glaucoma with continuous high IOP

·AIM:To evaluate the clinical effects of the modified anterior chamber penetration on treating the acute angle-closure glaucoma with continuous high intraocular pressure(IOP).·METHODS:The modified anterior chamber penetration was performed on 33 patients 33 eyes with the sudden attack of angle-closure glaucoma after topical anaesthetic.·RESULTS:All patients with the modified anterior chamber penetration rapidly reduced IOP,eye pain,eased headache,improved eyesight in various degrees,after treatment IOP was an average of 15 mmHg.No complications occurred.·CONCLUSION:The modified anterior chamber pene-tration is an effective,safe and simple method of treating the acute angle-closure glaucoma with continuous high IOP.It can avoid side effects caused by long-term IOP-decreasing drug and can quickly reduce IOP to alleviate the suffering of patients,reduce the damage to visual function caused by the high IOP.·