急性发作期原发性闭角型青光眼的早期联合治疗体会

Observation on treatment of acute attack of primary angle-closure glaucoma

目的:探讨前房穿刺术联合激光周边虹膜切除术(LPI)治疗原发闭角型青光眼急性发作的疗效。方法:原发性闭角型青光眼急性发作期患者36例40眼分为联合治疗组及传统治疗对照组,联合治疗组行前房穿刺联合激光周边虹膜切除术,对照组按常规行药物治疗,根据眼压结果选择不同手术,并观察眼压、前房角开放范围、发作终止率及小梁切除术率。结果:发作终止率:联合治疗组为89%,传统治疗组为38%;小梁切除手术率联合组32%,对照组76%。结论:发作期行前房穿刺及LPI联合治疗取得了满意效果,它能迅速打开房角、降低眼内压,因此提高了大发作终止率,降低了小梁切除手术比率。

·AIM：To explore the effect of paracentesis of anterior chamber combined laser peripheral iridectomy（LPI）in treatment of acute attack of primary angle-closure glaucoma.·METHODS：Totally 36 cases 40 eyes of acute attack of primary angle-closure glaucoma were divided into two groups.The combined therapy group was treated by paracentesis of anterior chamber combined LPI,the control group was treated by medicine that could decrease IOP,then intraocular pressure（IOP）,anterior chamber angle and the percentage of acute attack stopping and trabeculectomy were observed.·RESULTS：The rate of acute attack stopping was 89% in paracentesis of anterior chamber combined LPI group,and 38%（P 0.05）in control group;In therapy group the rate of trabeculectomy was 32%,in control group it was 76%（P 0.05）.·CONCLUSION：The paracentesis of anterior chamber combined LPI have show it＇s better efficacy in patients of acute attack of primary angle-closure glaucoma.It can quickly open the closed angle,control IOP.So it can increase the percentage of acute attack stopping and decrease the rate of trabeculectomy.·