摘要
目的量化观察急性闭角型青光眼降眼压治疗中继发脉络膜脱离的眼压和前房深度的变化,总结临床特点。方法回顾分析2005年1月至2006年4月,107例114只眼急性闭角型青光眼在降眼压治疗中,34例36只眼(31.8%)经超声生物显微镜(UBM)检查诊断继发脉络膜脱离,用Goldmann压平眼压计和UBM分别测量这组病例降眼压治疗前和发现脉络膜脱离时的眼压和前房深度,观察总结其临床特点。结果降眼压治疗前眼压平均(51.6±7.5)mmHg(1mmHg=0.133kPa),前房中央深度平均(1.763±0.285)mm;脉络膜脱离时眼压平均(7.6±3.2)mmHg,前房中央深度平均(1.547±0.334)mm;眼压变化平均(42.9±6.7)mmHg,前房中央深度变化平均(0.162±0.136)mm。继发脉络膜脱离无须特殊治疗,予减少或停用降眼压药物(尤其是缩瞳剂),2-7(3.5±1.4)天自愈,给予皮质类固醇类药物可缩短疗程。结论急性闭角型青光眼降眼压抢救治疗时,继发性脉络膜脱离的发生与眼压降低过陕过低有关;UBM具有较高的诊断价值,并可为临床提供可靠依据。
Objective To study the change of intraocular pressure(IOP) and anterior chamber depth (AD) in primary acute angle-dosure glaucoma concurrent choroidal detachment after reduction of IOP. Methods The clinical data of 34 patients(36 eyes) with choroidal detachment out of 107 patients(114 eyes) with primary acute angle-closure glaucoma undergoing medical treatment and paracentesis of anterior chamber were analyzed retrospectively. Results After the treatment to controlling lOP, IOP decreased from (51.6 ± 7.5) mmHg (lmmHg=0.133kPa) to (7.6 ± 3.2) mmHg ,AD shallowed from (1.763 ±0.285) mm to (1.547 ±0.334) mm by ultrasound biomicroscopy(UBM) examination.The mean change of IOP is (42.9 ± 6.7) mmHg, and of AD is (0.162±0.136) mm. Choroidal detachment after reduction of intraocular pressure in primary acute angle-closure glaucoma treated by glucocorticosteroid eye drops and stopped using of pilocarpine,and recovered within 2-7d, (3.5 ±1.4)d in average. Conclution It is suggested that primary acute angle-closure glaucoma concurrent choroidal detachment is related to rapid reduction of IOP. Ultrasound biomicroscopy (UBM) can offer higher diagnactic value and reliable information to clinic.
出处
《中国实用眼科杂志》
CSCD
北大核心
2007年第1期79-81,共3页
Chinese Journal of Practical Ophthalmology
关键词
脉络膜脱离
青光眼
闭角型
急性发作期
超声生物显微镜
choroidal detachment
glaucoma, angle-closure
acute episode period
ultrasoundbiomicroscopy