前房穿刺术在高眼压持续状态下的临床应用

Clinical practice of puncture of anterior chamber in high intraocular pressure persistent status

目的:探讨前房穿刺术治疗高眼压持续状态的效果。方法:对38例38眼高眼压持续状态在应用常规降眼压药物治疗后不能有效降低眼压的患者采用前房穿刺术放液。结果:所有患者经前房穿刺放液后眼压迅速降低,眼痛、头痛缓解,视力有不同程度提高,术后眼压平均为17mmHg。结论:前房穿刺术放液是治疗高眼压持续状态的安全、有效的方法,可以避免长期大量应用降眼压药物引起的副作用,迅速降低眼压,可以缓解患者痛苦,减轻因高眼压造成的视功能损害。

AIM：To evaluate the value of puncture of anterior chamber（PAC） in the treatment of high intraocular pressure（HIP） persistent status.METHODS：Thirty-eight eyes in HIP status of 38 patients whose IOP could not be reduced effectively with conventional drug treatment received treatment of PAC.RESULTS：All patients treated by PAC got symptomatic relief,including low intraocular pressure,easement of ophthalmalgia and headache,improvement of eyesight in varying degrees and average IOP of 17mmHg.CONCLUSION：Puncture of anterior chamber is an effective and safe clinical treatment to high intraocular pressure persistent status.It can quickly reduce IOP and alleviate the suffering of patients,protect the function of vision caused by the high lOP and also cut down incidence of drug side effect.