前房穿刺术处理急性闭角型青光眼发作的临床分析

目的探讨前房穿刺术处理急性闭角型青光眼急性发作的疗效。方法将41例(41眼)急性闭角型青光眼急性发作期的患者,分为前房穿刺组(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。对两组眼压、视力改变情况及抗青光眼手术方式进行分析。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地控制眼压、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。

Clinical analysis of anterior chamber paracentesis in treatment of acute primary angle-closure glaucoma

Objective To investigate the efficacy and safety of anterior chamber paracentesis in treatment of acute prima ry angle-closure glaucoma. Methods Forty-one cases （41 eyes） with acute angle-closure glaucoma were divided into anterior chamber puncture group （24 cases） and control group （17 cases）. Puncture group were taken the anterior chamber paracentesis on the slit lamp, and used the medicine to control intraocular pressure after the technique. The control group were given medica- control intraocular pressure. Then two groups were following the principles of anti-glaucoma surgery. Two groups of intraocular pressure and visual changes in circumstances and manner of anti-glaucoma surgery were analysed statistically. 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） was also better than the control group （2.59 ±2. 12）. Puncture group had 58.33% iridectomy, but the control group only had 17.64% iridectomy. Conclusion Anterior chamber paracentesis in treatment of acute primary angle-closure glaucoma attack can be more effectively control the intraocular pressure, better pro tection of visual function and recovery of vision, can avoid some unnecessary filtering surgery, and create the conditions for further treatment of glaucoma.