原发性闭角型青光眼持续高眼压状态治疗方案探讨  

Treatment for primary angle-closure glaucoma in persistent high ocular hypertension

作　　者：庄晓彤[1] 肖伟[2] 

机构地区：[1]中国辽宁省沈阳市第四人民医院眼科,110031 [2]中国医科大学附属盛京医院眼科,中国辽宁省沈阳市110003

出　　处：《国际眼科杂志》2013年第1期173-174,共2页International Eye Science

摘　　要：目的:探讨原发性闭角型青光眼(primary angle-closure glaucoma,PACG)持续高眼压状态下的处理方法。方法:回顾分析我院31例32眼PACG持续高眼压状态患者进行手术治疗的效果。结果:所有患者手术后眼压均恢复正常,视力有不同程度提高,无严重并发症。术前视力手动/眼前～0.1,眼压>40mmHg,平均眼压48.6mmHg。术后1mo,视力0.1～0.8,眼压8.6～17.5(平均11.5)mmHg。结论:PACG持续高眼压状态患者,术前应尽可能采用前房穿刺降低眼压,待角膜状态好转后行抗青光眼手术治疗,以保证手术安全并挽救患者视功能。AIM：To evaluate the treatment protocols of primary angle-closure glaucoma（PACG） in persistent high ocular hypertension.METHODS：The curative effects of 31 cases（32 eyes） with PACG in persistent high ocular hypertension were retrospectively analyzed.All cases were performed different surgical therapy.RESULTS：For all cases,the intraocular pressure（IOP） was reduced to normal and the visual acuity was increased to some extent with no severe complications.Compared to the preoperative visual acuity which was hand movement before the eye to 0.1,the postoperative visual acuity was increased to 0.1 to 0.8.The mean IOP was reduced from 48.6mmHg preoperatively to 11.5mmHg 1 month postoperatively.CONCLUSION：In order to reduce the high risk of operation and receive the optimal visual function,paracentesis seems to be necessary in controlling IOP in PACG patients with persistent high IOP.Anti-glaucoma operation was recommended to be performed when the cornea was clear.

关 键 词：原发性闭角型青光眼 高眼压 前房穿刺 小梁切除术 超声乳化白内障吸出 

分 类 号：R779.6[医药卫生—眼科]