闭角型青光眼急性发作期前房穿刺放液的疗效  

The clinical effect of anterior chamber paracentesis for acute primary angle-closure glaucoma

作　　者：王玮[1] 王军明[1] 罗班[1] 向艳[1] 周雄武[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院眼科,武汉430030

出　　处：《中华眼外伤职业眼病杂志》2015年第10期784-787,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的：评价前房穿刺放液在原发性闭角型青光眼急性发作期药物不能控制的高眼压持续状态时的疗效。方法回顾性分析2014年1月至6月我院眼科某眼前段治疗组收治原发性闭角型青光眼急性发作期患者14例（15眼）,入院后急诊行前房穿刺术。术后按自身房水外流通路能否有效恢复分为两组。对两组入院前发作期高眼压持续时间行两独立样本t检验,对两组视力恢复情况行t’检验。结果比较两组入院前发作期高眼压持续时间,差异具有统计学意义（ t=5.661, P=0.000）,比较两组视力恢复情况,差异具有统计学意义（t’=-4.155,P=0.003）。结论对于原发性闭角型青光眼急性发作期药物不能控制的高眼压持续状态,积极予以前房穿刺放液,尽早结束高眼压持续状态,可尽量减少自身房水外流通路及视力的损伤。Objective To evaluate the efficacy of anterior chamber paracentesis for acute primary angle-closure glaucoma （ APACG ） , with persistent ocular hypertension which could not be controlled by drugs. Methods Fifteen eyes of 14 patients with APACG were collected and given anterior chamber paracentesis in our hospital from January 2014 to June 2014. Patients were divided into two groups according to if their aqueous humor outflow pathway could recover effectively. The two indepedent samples t-test was applied to compare the duration of ocular hypertension between two groups, and the student t-test was applied to compare the visual recovery between the two groups. Results The duration of ocular hypertension between two groups showed statistically significant difference（t=5. 661,P=0. 000）. The visual recovery between the two groups also showed statistically significant difference（t= -4. 155,P=0. 003）. Conclusion For the patients with APACG which could not be controlled by anti-glaucoma medicine, ending the persistent state of ocular hypertension as soon as possible by anterior chamber paracentesis can minimize the damage of vision and restore aqueous humor outflow pathway.

关 键 词：穿刺术 前房 青光眼 闭角型 急性 高眼压 

分 类 号：R779.6[医药卫生—眼科]