摘要
目的探讨前房穿刺术(anterior chamber paracentesis,ACP)在处理闭角型青光眼急性发作中的作用和安全性。方法2000年7月至2006年10月我科收治327例闭角型青光眼首次急性发作患者,按治疗过程中是否行前房穿刺术分为2组,对性别、年龄、入出院眼压和视力、手术前后降眼压药物的使用种类及使用时间、术前准备时间、术后并发症等进行数据统计分析。结果327例中94例行ACP,穿刺组(2.37±1.63)d眼压恢复正常,较对照组眼压[(2.75±2.01)d]恢复快;与对照组比较,穿刺组使用降眼压药物种类和剂量少,使用时间短;穿刺组26例患者行激光手术,术后并发症较对照组少[分别为12例(27.66%)、57例(24.46%)],浅前房仅12.77%,显著低于对照组(24.46%),多次前房穿刺不增加并发症的发生;穿刺组视力提高幅度较对照组大。结论前房穿刺术是处理闭角型青光眼急性发作的一种安全有效、简单易行的方法。
Objective To study the safety and effectiveness of anterior chamber paracentesis, combined with antiglaucomatous medications, in the intraocular pressure control and relief of symptoms of acute primary angle-closure glaucoma （PACG）. Methods Totally 327 patients with first attack of acute PACG who were admitted in our hospital during July 2000 and October 2006 were collected in this study, and were divided into 2 groups according to whether receiving anterior chamber paracentesis or not （paracentesis group and control）. Their clinical data such as sex, age, intraocular pressure （IOP） and visual acuity before hospitalization, types and times of administration of lOP drugs before and after operation, preparative time for operation and postoperative complications were retrospectively analyzed. Results There were 94 out of 327 patients receiving anterior chamber paraeentesis, who had faster intraoeular pressure control （2.37 ± 1.63 d vs 2.75 ± 2.01 d） , and lesser types and dosages and shorter times of IOP drugs, shorter therapeutic time after paraeentesis, shorter time to prepare operation, lesser postoperative complications [ shallow anterior chamber, 12 eases （12.77%） vs 57 cases （24.46%） ] and better visual acuity than control. Anterior chamber paracentesis more than one time didn＇t increase the risk of complications. Conclusion Anterior chamber paracentesis is safe and effective in controlling the intraocular pressure and eliminating symptoms in acute PACG.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2009年第14期1388-1390,共3页
Journal of Third Military Medical University
关键词
前房穿刺术
急性闭角型青光眼
急性发作
anterior chamber paracentesis
acute primary angle-closure glaucoma
treatment
