摘要
目的:探讨急性闭角型青光眼高眼压持续状态下的急诊手术治疗。(急性闭角型青光眼高眼压持续状态:急性闭角型青光眼眼压高达60mmHg应用脱水缩瞳封闭等方法治疗眼压波动在6mmHg者谓之)。方法:对26例(28眼)急性闭角型青光眼手术治疗中,18眼应用前房穿刺临时降低眼压,10眼巩膜瓣完成后于巩膜瓣下角巩缘切开缓慢入出房水临时降低眼压后皆按常规完成青光眼小梁切除术;术中并发症主要为3眼前房出血;术后并发症为4眼前房消失脉络膜脱离。以上并发症经临床药物、脉络膜放液前房注入Henlon等治愈。结果:术后眼压全部恢复至21mmHg以下。术后1周检查眼底,7眼有视网膜片状出血,经治疗3月后出血吸收呈斑块状改变。结论:对于急性闭角型青光眼高眼压持续状态患者,在应用药物治疗无效时,为保护患者有用视力,手术介入是积极有效的;术中和术后并发症通过药物和其它治疗可以治愈,故急诊手术应是首选方法。
AIM: To explore the emergency surgical treatment for acute close-angle glaucoma with persistent high intraocular pressure (IOP).· METHODS: In surgical treatment of 26 cases (28 eyes) of glaucoma, IOP was reduced temporarily through anterior chamber puncture in 18 eyes and through incision of the lower corner of scleral flap in 10 eyes. After IOP reduction, conventional glaucomatous trabeculetomy was performed. Complications were managed in time.· RESULTS: Postoperative IOP was below 21mmHg in all cases. Intraoperatively, hyphema occurred in 3 eyes and postoperatively, obliteratio camerae anterior and choroid detachment occurred in 4 eyes. All complications were healed. Fundal exam at 1 week after surgery revealed retinal hemorrhage in 7 eyes, which was absorbed after 3- month treatment.· CONCLUSION: Surgical treatment is optimal for glaucoma with persistent IOP elevation and its complications can be successfully managed.·
出处
《国际眼科杂志》
CAS
2004年第1期155-156,共2页
International Eye Science
