摘要
目的探讨老年性白内障膨胀期继发性青光眼的治疗方法。方法对16例16眼老年性白内障膨胀期继发性青光眼患者在应用常规降眼压药物治疗后不能有效降低眼压(用药后眼压仍>40mmHg)时,采用1ml注射器做前房穿刺放液,待眼压稳定2d后再行白内障联合抗青光眼手术治疗。结果所有患者经前房穿刺放液后眼压迅速降低,眼痛、头痛缓解,视力有不同程度的提高,手术前眼压控制在10～18mmHg。行白内障联合抗青光眼手术后患者矫正视力均≥0.12。结论毫针穿刺放液可以缩短降眼压时间,为及早行白内障联合抗青光眼手术创造条件。对白内障膨胀期继发性青光眼患者行联合手术的远期疗效较好。
Objective To investigate the treatment for secondary glaucoma due to intumescent senile cataract （SGISC）. Methods Sixteen SGISC eyes （16 cases） received treatment with conventional drugs decreasing intraocular pressure（IOP） , but the IOP could not be effectively reduced. One ml syringes was used to puncture the anterior chamber fluid. After the IOP was controlled for 2 days, sixteen SGISC eyes （ 16 cases） underwent combination treatment of cataract extraction and anti-glaucoma surgery. Results All patients showed good effects. IOP was rapidly reduced, and eye pain and headache eased, eyesight improved in varying degrees. The postoperative visual acuity of all patients were higher than 0. 12. Conclusions One ml syringes used to puncture the anterior chamber can quickly reduce IOP and provide the con- ditions for early surgery. The clinical results show that combination of cataract extraction and anti-glaucoma surgery has long term good effect for the patients.
出处
《实用老年医学》
CAS
2012年第4期314-316,共3页
Practical Geriatrics
关键词
膨胀期白内障
继发性青光眼
毫针
人工晶状体植入术
小梁切除术
intumescent cataract
secondary glaucoma
1 ml syringes
intraocular lens implantation
irabecnlec-tomy
