前房穿刺术联合复合小梁切除术治疗原发性闭角型青光眼持续高眼压状态下疗效观察  

Clinical observation on anterior chamber paracentesis combining with trabeculectomy in treatment of persistent status of high intraocular pressure caused by primary-acute-angle-closure glaucoma

作　　者：韩永钊 栗慧娜[1] 

机构地区：[1]南京市江宁医院眼科,210008

出　　处：《临床眼科杂志》2015年第6期501-503,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨前房穿刺术联合复合小梁切除术治疗原发性急性闭角型青光眼（APACG）持续高眼压状态的安全性和有效性。方法回顾分析我院2010年1月至2014年6月41例（43只眼）药物治疗不能控制眼压的APACG持续高眼压状态,先行前房穿刺术,待眼压控制3~4 d后行复合式小梁切除手术治疗。结果术后随访6个月,大多数眼压均控制在21 mm Hg以下,滤过泡功能良好,保留了较好的视力,未发生严重并发症。结论持续高眼压状态下APACG先行前房穿刺术后再行青光眼复合式小梁切除术,可以控制眼压、挽救患者的视功能,治疗是安全有效的。Objective To study the effect and safety of anterior chamber paracentesis combining with trabeculectomy in treatment of persistent status of high intraocular pressure caused by primary-acute-angle-closure glaucoma. Methods Forty-three eyes of 41 patients with persistent status of high intraocular presure caused by AACG in our hospital during January 2010 to june 2014 were retrospectively analyzed. Patients were received anterior chamber paracentesis,and persistent status of intraocular pressure was controlled for 3 ~ 4 days,then they received trabeculectomy. Results After a followup of 6 months,most of the IOP control in 21 mm Hg below,Filtering bleb function is good,No serious complications occurred. Conclusion Persistent high intraocular pressure of primary acute angle closure glaucoma first puncture of anterior chamber after trabeculectomy of glaucoma,can control intraocular pressure and save the visual function of patients. The treatment is safe and effective.

关 键 词：高眼压 原发性急性闭角型青光眼 前房穿刺术 小梁切除术 

分 类 号：R779.6[医药卫生—眼科]