摘要
目的 探讨急性闭角型青光眼发作期持续高眼压状态下手术的特点及效果.方法 对应用大剂量降眼压药物2-3天后眼压仍持续在40mmHg以上的60例65眼施行小梁切除术.术中先间断地缓慢放出房水,减低眼压后进行小梁切除术.术后随访6个月.结果 65眼术前视力均在0.05以下.术后1周视力≥0.05者64眼,视力≥0.3者31眼;眼压≤21mmHg者52眼.术中术后无玻璃体脱出、脉络膜脱离、脉络膜下大出血或睫状环阻塞性青光眼等并发症发生.结论 急性闭角型青光眼持续高眼压时,小梁切除术术中多次间断缓慢放出房水对持续高眼压状态下的治疗是安全有效的.
Objective To explore clinical character and operational treatment of the acute angle-closure glaucoma with continuous continuous high IOP. Methods clinical character of the acute angle-closure glaucoma with high IOP in the 60 patients（65 eyes） were retrospectively analysed,and operational effects affer trabeculectomy in patients who cotinuous hypertension（ 〉 40mmHg）after the use of the repressive pressure medcine of tolerant furthest quantity. impact on operational effects are observed by the measure of aqueous fluid released repetitiously and pressure depressed step by step . Results Tthe visions of 65 eyes are below 0-05 before operation. The visions of 45 eyes are perior to 0.1 after operation one week,There are no complications of epichoroidal hemorrhage, vitreous prolapsus,malignant glaucoma in the trabeculectomy. Conclusions The patients of acute angle-closure glaucoma with continuous high introeular pressure with severe symptom and acute attack, shoukd be taken operational treatment, the measure of aqueous fluid released repetitiously and pressure depressed step by step are safe and effective.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第7期497-499,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
急性闭角型青光眼
小梁切除术
高眼压
acute angle-closure glaucoma
IOP
clinical character
operational treatment
