眼球按摩联合激光治疗闭角型青光眼急性发作

Eye massage combined with laser treatment for acute attack of primary angle-closure glaucoma

目的观察眼球按摩联合激光治疗原发性闭角型青光眼急性发作期的临床效果。方法回顾性研究2016年8月至2018年5月原发性闭角型青光眼急性发作期者102例(102眼),在全身和局部药物降眼压治疗基础上行眼球按摩,联合多波长激光周边虹膜成形术和YAG激光虹膜周边切开治疗。结果治疗后有100例眼压下降,平均为(28.59±6.84)mmHg(1mmHg=0.133kPa),无严重并发症发生。2例治疗无效,改行传统小梁切除术。结论原发性闭角型青光眼急性发作期在药物治疗基础上行眼球按摩联合激光治疗,安全有效。

Objective To observe the efficacy of eye massage combined with laser treatment for the acute attack of primary angle-closure glaucoma. Methods The data of 102 eyes of 102 patients with acute attack of primary angle-closure glaucoma from Aug. 2016 to May 2018 were analyzed retrospectively. Eye massage was performed on the basis of systemic and topical medication to reduce intraocular pressure.All cases received the combined surgery of multi-wavelength laser peripheral iridoplasty and YAG laser iridotomy. Results After treatment, the intraocular pressure decreased in 100 patients, with average (28.59±6.84) mmHg(1 mmHg=0.133 kPa). No serious complication occurred. Two cases of ineffective underwent traditional trabeculectomy. Conclusion Eye massage combined with laser treatment for the treatment of primary angle-closure glaucoma on the basis of drug treatment in acute attack is effective.