CAJ | 학술논문

目的探讨玻璃体抽吸联合前房注气术在极浅前房的急性闭角型青光眼持续性高眼压治疗中的作用.方法回顾性分析在2010～2012年邢台市眼科医院收治的前房极浅的急性闭角型青光眼患者共15例15只眼,常规药物治疗24 h后眼压仍＞60 mmHg,在局部麻醉下于睫状体平坦部行玻璃体抽吸联合前房注气术治疗,比较手术前后眼压、视力、房角情况.结果患者15例15只眼术前眼压均＞60 mmHg,视力为光感-0.02.术后第1d眼压＜21 mmHg者13只眼(87％),21～30 mmHg者2只眼(13％);术后视力0.2～0.5为10只眼(67％),视力0.1～0.2的4只眼(27％),视力＜0.1的1只眼(7％);房角开放4～11个钟点不等,其中开放＞6个钟点的有11只眼(73％).结论玻璃体抽吸能显著地降低眼压,前房注气术可有效开放房角,二者结合使患者得到及时、有效的治疗,为各种青光眼手术的实施提供安全可靠的条件,值得在临床上应用.
목적 탐토파리체추흡연합전방주기술재겁천전방적급성폐각형청광안지속성고안압치료중적작용.방법 회고성분석재2010～2012년형태시안과의원수치적전방겁천적급성폐각형청광안환자공15례15지안,상규약물치료24 h후안압잉＞60 mmHg,재국부마취하우첩상체평탄부행파리체추흡연합전방주기술치료,비교수술전후안압、시력、방각정황.결과 환자15례15지안술전안압균＞60 mmHg,시력위광감-0.02.술후제1d안압＜21 mmHg자13지안(87％),21～30 mmHg자2지안(13％);술후시력0.2～0.5위10지안(67％),시력0.1～0.2적4지안(27％),시력＜0.1적1지안(7％);방각개방4～11개종점불등,기중개방＞6개종점적유11지안(73％).결론 파리체추흡능현저지강저안압,전방주기술가유효개방방각,이자결합사환자득도급시、유효적치료,위각충청광안수술적실시제공안전가고적조건,치득재림상상응용.
Objective To explore the efficiency of vitreous aspiration and intracameral air injection for acute angle-closure glaucoma with extremely shallow anterior chamber and persistent ocular hypertension.Methods Retrospective analyzed 15 eyes of angle closure glaucoma with extremely shallow anterior chamber in 15 patients.The intraocular pressure was above 60mmHg after 24 hours of routine therapy.The patients underwent vitreous aspiration via pars plana combined with intracameral air injection under local anesthesia.Pre-operation and post-operation intraocular pressure,visual acuity,angle of anterior chamber was recorded and compared.Results The intraocular pressure of 15 eyes in 15 cases of patients was all above 60mmHg,the visual acuity ranged from light perception to 0.02.In the first day after operation,The intraocular pressure in 13 eyes were under 21mmHg,2 eyes were ranged from 21mmHg to 30mmHg,10 cases of visual acuity ranged from 0.2 to 0.5,4 eyes from 0.1 to 0.2,the angle opens from 4 to ll o'clock,there were 11 eyes above 6 o'clock.Conclusions Vitreous aspiration can decrease intraocular hypertension,protect visual function markedly,and provide safe condition for various operations for glaucoma.Intracamel injection can open chamber angle efficiently,reduce the rate of filtering surgery.Vitreous aspiration combined with intracameral air injection can provided the patients efficient and timely therapy which worthy of recommending in clinical application.