摘要
目的:探讨氯丙嗪球后注射联合角膜层间灼烙治疗绝对期青光眼的临床效果,以解除绝对期青光眼疼痛问题。方法:对29例(30眼)绝对期青光眼采用球后注射氯丙嗪,对伴发大泡性角膜病变者加用角膜层间灼烙术。结果:29例中14例仅采用球后注射氯丙嗪一种方法就达到止疼目的,15例(16眼)伴发大泡性角膜病变者,因球后注射未完全解除疼痛而加用角膜层间灼烙术后疼痛消失。结论:球后注射氯丙嗪治疗绝对期青光眼引起的疼痛是简单有效的方法,对合并大泡性角膜病变者,于第1次注射氯丙嗪后即需加用角膜层间灼烙术。
AIM： To evaluate the clinical effect of retrobulbar injection of chlorpromazine combined with intralamellar cauterization of the cornea so as to obviate pain of the patients.
METHODS： Retrobulbar injection of chlorpromazine was used in 29 cases of absolute glaucoma, combined with intralamellar cauterization of cornea if bullous keratopathy present.
RESULTS： Of the 29 cases, pain was obviated only with retrobulbar injection of chlorpromazine in 14 cases. In the other 15 cases （16 eyes） complicated with bullous keratopathy, pain had not fully vanished after one or two injections but was stopped after intralamellar cauterization of cornea.
CONCLUSION： Retrobulbar injection of chlorpromazine in the treatment of absolute glaucoma is a simple and effective method. Intralamellar cauterization should be used in cases with bullous keratopathy after the first drug injection.
出处
《国际眼科杂志》
CAS
2006年第3期637-638,共2页
International Eye Science
关键词
氯丙嗪
角膜层间灼烙
绝对期青光眼
chlorpromazine
intralamellar cauterization ofcornea
absolute glaucoma
