中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
42期
18-19
,共2页
膨胀期白内障%急性闭角型青光眼%眼压%前房穿刺
膨脹期白內障%急性閉角型青光眼%眼壓%前房穿刺
팽창기백내장%급성폐각형청광안%안압%전방천자
intumescent cataract%angle closure glaucoma%itraocular pressure%anterioi chamber penetration
目的:探讨前房穿刺放液处理膨胀期白内障继发急性闭角型青光眼的急性发作的疗效及时机。方法:对30例30眼老年性白内障膨胀期引起的继发性急性闭角型青光眼患者的急性期,(术前眼压均在50mmHg以上,1kpa=7.5mmHg)在联合应用常规降眼压药物治疗未能有效降低眼压后,急诊采用15°穿刺刀在8倍放大倍率的手术显微镜下进行前房穿刺,轻压切口后唇缓慢放出房水。结果:所有患者经前房穿刺放液后高眼压及眼痛迅速缓解,其中25例眼压降至正常,术后眼压平均16mmHg,仅5例眼压偏高,维持在35mmHg左右,但视力提高不显著,其中3眼穿刺后5-8小时眼压再次升高遂再次放液。结论:15°穿刺刀在手术显微镜下前房穿刺放液比传统的注射针头穿刺放液损伤小反应轻,是治疗膨胀期白内障继发急性闭角型青光眼的急性发作辅助措施,可以缩短降眼压的时间以减轻患者痛苦,减轻因高眼压造成的视功能损害,避免了长时间大量应用常规降眼压药物可能引起的副作用,为白内障的进一步治疗创造了条件。
目的:探討前房穿刺放液處理膨脹期白內障繼髮急性閉角型青光眼的急性髮作的療效及時機。方法:對30例30眼老年性白內障膨脹期引起的繼髮性急性閉角型青光眼患者的急性期,(術前眼壓均在50mmHg以上,1kpa=7.5mmHg)在聯閤應用常規降眼壓藥物治療未能有效降低眼壓後,急診採用15°穿刺刀在8倍放大倍率的手術顯微鏡下進行前房穿刺,輕壓切口後脣緩慢放齣房水。結果:所有患者經前房穿刺放液後高眼壓及眼痛迅速緩解,其中25例眼壓降至正常,術後眼壓平均16mmHg,僅5例眼壓偏高,維持在35mmHg左右,但視力提高不顯著,其中3眼穿刺後5-8小時眼壓再次升高遂再次放液。結論:15°穿刺刀在手術顯微鏡下前房穿刺放液比傳統的註射針頭穿刺放液損傷小反應輕,是治療膨脹期白內障繼髮急性閉角型青光眼的急性髮作輔助措施,可以縮短降眼壓的時間以減輕患者痛苦,減輕因高眼壓造成的視功能損害,避免瞭長時間大量應用常規降眼壓藥物可能引起的副作用,為白內障的進一步治療創造瞭條件。
목적:탐토전방천자방액처리팽창기백내장계발급성폐각형청광안적급성발작적료효급시궤。방법:대30례30안노년성백내장팽창기인기적계발성급성폐각형청광안환자적급성기,(술전안압균재50mmHg이상,1kpa=7.5mmHg)재연합응용상규강안압약물치료미능유효강저안압후,급진채용15°천자도재8배방대배솔적수술현미경하진행전방천자,경압절구후진완만방출방수。결과:소유환자경전방천자방액후고안압급안통신속완해,기중25례안압강지정상,술후안압평균16mmHg,부5례안압편고,유지재35mmHg좌우,단시력제고불현저,기중3안천자후5-8소시안압재차승고수재차방액。결론:15°천자도재수술현미경하전방천자방액비전통적주사침두천자방액손상소반응경,시치료팽창기백내장계발급성폐각형청광안적급성발작보조조시,가이축단강안압적시간이감경환자통고,감경인고안압조성적시공능손해,피면료장시간대량응용상규강안압약물가능인기적부작용,위백내장적진일보치료창조료조건。
Objective To evaluate the clinical effects and opportunity of anterioi chamber penetration using acupuncture knife on treating the sudden attack of secondary glaucoma due to intumescent cataract. Methods anterior chamber penetration using 15° acupuncture knife was performed on thirty patients with the sudden attack of secondary glaucoma due to intumescent cataract. after topical anaestetic. Results The mean intralocular pressure was over 50mmHg(1Kp=7.5mmHg) before the penetration and reduced to16mmHg as soon as the penetration was finished. In 5 of the 30 cases , the mean postoperative intraocular pressure was 35mmHg.In 3 of the 30 case s, the postoperative intraocular pressure rised and performed anterior chamber penetration again.None of the patients fel painful during the opration and no complications occurred. Conclusion Atierior chamber penetration using acupuncture knife is one kind of effective, safe and simple method of treating the sudden attack of secondary glaucoma due to intumescent cataract.It made the treatment of the cataract easy and possible.