原发性急性闭角型青光眼高眼压持续状态下的手术治疗

Surgical treatment of the primary acute angle-closure with continous high IOP

目的探讨闭角型青光眼高眼压持续状态下手术的特点,并评价其临床疗效。方法对52例54只眼,使用局部和全身药物治疗,眼压不能良好控制的原发性闭角型青光眼进行改良小梁切除术治疗。结果54只眼顺利完成手术,术后其中2眼出现前房出血,2眼出现脉络膜脱离,6眼出现浅前房经过相应的处理后稳定。术后1月随访时,视力提高或保持不变的有47只眼占87%,眼压≤21mmHg者有44只眼占81.5%。结论原发性急性闭角型青光眼高眼压持续状态下施行改良小梁切除术是必要、可行,安全有效的。

Objective To explore clinical charactor and operational treatment of the acute angle -closure glaucoma with continuous high lOP and evaluate the efficacy. Methods Clinical eharaetor of the acute angle - closeure glaucoma in the 52 cases （54 eyes） were retrospectively analysed, and operational effects after trabeculectomy in cases with cotinous hypertention after the use of the repressive pressure medcine of tolerant quantity. Results Among the 54 eyes, hyphema are observed in 2 eyes, vitreous prolapsus in 2 eyes, shallow of anterior chamber in 6 eyes which were cured soon. One month later, the visions of 47 eyes which accounted for 87 percent rose or unchanged. The pressure of 44 eyes which took up 81.5 persent were below 21 mm Hg. Conclusions Trabeculectomy for primary acute angle - closure glaucoma with continuous high lOP is necessary, safe and effective.