前房穿刺术处理性闭角型青光眼发作的临床分析.pdfVIP

前房穿刺术处理急性闭角型青光眼发作的临床分析 中 文 摘 要 目的 探讨前房穿刺放液术处理急性闭角型青光眼急性发作的疗效。 方法 取41 例(41 眼)急性闭角型青光眼急性发作期的患者,分前房穿刺组（24 例）与 对照组（17 例）。穿刺组在裂隙灯下行前房穿刺放液术,术后联合药物控制眼压，对照组 仅给予药物控制眼压。其后两组均依原则行抗青光眼手术。分析两组的眼压及视力的改 变情况及抗青光眼的手术方式。行统计学数据分析。 结果 穿刺组眼压降低幅度（44.48±12.83）好于对照组（28.69±12.83），穿刺组的 视力提高（5.67±3.42）也优于对照组（2.59±2.12）。穿刺组58.33%行虹膜周切术， 对照组仅17.64%行虹膜周切术。 结论 前房穿刺术处理急性闭角型青光眼发作能更有效的控制眼压，更好的保护视功能 恢复视力，能避免一些非必要的滤过性手术而改行创伤小并发症少的内引流术，为青光 眼的进一步治疗创造了条件。 关键词 前房穿刺;闭角型青光眼;急性发作 3 Efficacy and safety of anterior chamber paracentesis in treatment of acute primary angle-closure glaucoma Abstract Objective To investigate the Efficacy and safety of anterior chamber aracentesis in treatment of acute primary angle-closure glaucoma. Methods 41 examples (41 eyes) with acute angle-closure glaucoma was divided into anterior chamber puncture group (24 cases) and control group (17 cases). Puncture group takes the anterior chamber paracentesis on the slit lamp , after the technique, unites the medicine control intraocular pressure.the control group were given medications to control intraocular pressure. Then two lines are following the principles of anti-glaucoma surgery. Analysis of two groups of intraocular pressure and visual changes in circumstances and manner of anti-glaucoma surgery, the results of rows statistical data analysis. Results puncture group to reduce intraocular pressure (44.48±12.83) was better than the control group （28.69±12.83）. To the visual acuity be improved ,puncture group (5.67±3.42) is also better than the control group (2.59±2.12). Puncture group 58.33% of the line of iris weeks resection ,but to the control group only 17.64% iris weeks resection. Conclusion anterior chamber paracentesis in treatment of acute primary angle-closure glaucoma attack can be more effectively control the intraocular pressure, better protection of