应用闭角型青光眼新的分类和定义指导临床治疗

Treatment of angle-closure glaucoma with its new definition and classification as guideline

用国际上新的闭角型青光眼分类和定义指导临床治疗具有简捷和可操作性的优点。对可疑原发性房角关闭除了密切随访外,有选择性地行周边虹膜切除术;对急性和慢性原发性房角关闭可根据发生机制和临床特征对患者进行不同的临床处理;对原发性闭角型青光眼可根据视神经损害程度和靶眼压选择药物、激光或滤过性手术等治疗。(眼科,2007,16:12-13)

There are more simply and practicable using new definition and classification guide to treat angle-closure glaucoma in clinic. Closely follow up and selectively use iridotomy can deal with primary angle-closure suspects （PACS）. According to mechanisms and characteristics of the angle-closure, different therapy may be given to acute primary angle closure（APAC） and chronic primary angle closure（CPAC） patients. Choosing medication or laser/surgery or both treat primary angle-closure glaucoma （PACG） on the basis of optic nerve damaged and target lOP. （Ophthalmol CHN, 2007, 16： 12-13）