药物性睫状环阻滞性青光眼的治疗

目的分析药物性睫状环阻滞性青光眼的临床特点，总结其治疗方法和治疗效果。方法对2001年4月至2008年12月在本院治疗的此类型睫状环阻滞性青光眼的临床资料进行总结、回顾性分析。结果①眼压：入院时的眼压43．38～81．78mmHg，平均为（51．66±5．46）mmHg；经治疗10—14d后，所有患者眼压均控制在25mmHg以内。随访12月后，2例长期局部点眼药眼压一直维持在20mmHg左右，其他采用手术治疗的10例患者，有6例不用降眼压药物，眼压控制在20rainHg以内；3例眼压在21—25minHg，给予局部点B-受体阻滞剂，眼压控制在20minHg以内，1例眼压失控而再次手术，最终失明；②视力：治疗前12例最佳矫正视力为1m光感至0．3，治疗后最佳矫正视力0．1—0．8。治疗前后视力比较，差异有显著性（P〈0．01）。结论这类睫状环阻滞性青光眼都具有闭角型青光眼的解剖结构，用毛果芸香碱眼压增高，用眼压下降，积极治疗可恢复有用视力。

Surgery for drug causing ciliary-block glaucoma

Objective To study clinical characteristic of drug causingciliary-block glaucoma,to evaluate the therapeutic effect of surgery for drug causing ciliary-block glaucoma. Methods The clinical informations of 12cases( 12 eyes) of drug causing ciliary-block glaucoma diagnosed in our hospital between April 2001 and December 2008 were evaluated, vistaed summary. Results ①Intraocular pressure (IOP) :Being hospitalized,the IOP of patients was 43.38 ～ 81.78 mm Hg, the mean was (51.66 ± 5.46 ) mm Hg; After treating for 10 ～ 14 days, the IOP of 12 patients were controlled below 25 mm Hg. Following up 12 months, two patients kept their IOP at about 20 mm Hg by using eye-drops; The other 10 patients performed an operation, the IOP of 6 patients were controlled at about 20 mm Hg without giving medicine; Three patients were 21 ～ 25 mm Hg, their IOP was controlled at 20 mm Hg after giving β-receptor block medicine. The IOP of one patient was out of control; the patient lost his eye' s functioning after performing the operation. ②Vision: Before treating patients, they had light sense or vision up to 0. 3 in one meter distance ( after being corrected defects of vision). After treating patients,the best-corrected defects of vision were 0. 1 ～ 0. 8. There was a significant difference in vision between before and after treating patients. Conclusion Ciliary-block glaucoma caused by medicine has the same anatomy features as PACG.; The IOP going up was caused by Plocarpine ,The IOP going down was caused by Tropicamidum or Atropine; Vision can be restored through vigorous treating.