前房穿刺术联合小梁切除术治疗急性闭角型青光眼高眼压持续状态

目的:探讨前房穿刺术结合小梁切除术在治疗急性闭角型青光眼高眼压持续状态方面的疗效。方法:回顾性分析自2011-03/2012-06我院眼科收治的急性闭角型青光眼患者80例,其中40例行前房穿刺术减压后,再行小梁切除术治疗,列为联合治疗组,40例行药物减压后,再行小梁切除术治疗,列为对照组,比较两组患者治疗效果。结果:术后联合治疗组视力恢复情况、前房角及瞳孔改善情况优于对照组,并发症发生率较对照组低,比较差异有统计学意义(P<0.05)。结论:前房穿刺术结合小梁切除术治疗急性闭角型青光眼高眼压持续状态疗效显著、手术简单、并发症少,值得在临床工作中积极地推广应用。

Anterior chamber paracentesis combined with trabeculectomy in treatment of high intraocular pressure continued state of acute angle-closure glaucoma

AIM: To investigate the effect of anterior chamber puncture combined trabeculectomy in the treatment of high intraocular pressure continued state of acute angle-closure glaucoma.

METHODS: Totally 80 cases with angle-closure glaucoma from March 2011 to June 2012 in our hospital were retrospectively analyzed, and 40 cases were given trabeculectomy after anterior chamber decompression(observation group)while 40 cases were received trabeculectomy after drugs decompression(control group). The clinical efficacy was compared between the two groups.

RESULTS: The postoperative vision recovery, anterior chamber angle and pupil improvement were better than the control group, and the incidence of complications were less than the control group, the difference was statistically significant(P<0.05).

CONCLUSION: The efficacy of anterior chamber paracentesis combined with trabeculectomy in the treatment of high intraocular pressure continued state of acute angle-closure glaucoma is effective, and it is a simple surgery with fewer complications, which is worth to actively promote in clinic.