急性闭角型青光眼急性发作期缓解后并发睫状体脱离的临床观察

Clinical observation of acute angle-closure glaucoma after acute attack mitigation with ciliary body detachment

目的:探讨急性闭角型青光眼急性发作期缓解后并发睫状体脱离的临床变化过程,并评价超声生物显微镜(ultra-sound biom icroscopy,UBM)在其诊断中的应用价值。方法:选择急性闭角型青光眼急性发作期缓解后并发睫状体脱离的患者34例,给予皮质类固醇治疗,治疗前后检查眼压、裂隙灯和UBM,分析睫状体脱离的动态变化。结果:治疗前眼压为6.75±3.12mmHg,UBM显示睫状体脱离,其中1级53%,2级32%,3级15%。经治疗33例眼压正常,平均末次眼压为12.67±5.52mmHg。UBM检查发生明显的变化,ACD,AOD,θ1增加(P<0.01),TCPD,ICPD增大(P<0.05)。睫状体脱离随治疗时间的延长逐渐恢复。结论:药物治疗急性闭角型青光眼急性发作期缓解后并发睫状体脱离可获得理想的疗效,UBM检查对其诊断具有较高的价值。

AIM： To investigate the clinical course of acute angleclosure glaucoma after acute attack mitigation with ciliary body detachment, and to evaluate the clinical diagnostic value of ultrasound biomicroscopy （UBM ）. METHODS： Thirty-four patients with acute angle-closure glaucoma after acute attack mitigation with ciliary body detachment were registered in our trial, and received the treatment with corticosteroid. The kinetic changes were examined with tonometer, treatment and regularly time UBM and slitlamp before points after treatment. RESULTS： The intraocular pressure （lOP） was 6.75 ± 3.12mmHg before medication. The scores of UBM observation were as follows： 53% of score 1,32% of score 2,and 15% of score 3. After medication, mean lOP was 12.67±5.52mmHg, which 33 patients reached the normal level. The parameters were significant change compared the those of pre-medication with UBM, including ACD, AOD, θl （ P 〈 0. 01 ）, TCPD, ICPD （ P 〈 0. 05 ）. The detachment was increasingly recovered with the duration. CONCLUSION： There is a optimized outcome of medication for acute angle-closure glaucoma after acute attack mitigation with ciliary body detachment. UBM is useful to diagnose the disease.