目的:探讨前房穿刺放液术治疗高眼压持续状态的疗效。方法:对36例高眼压持续状态的患者,其中急性闭角型青光眼急性发作期16例,慢性闭角型青光眼4例,新生血管性青光眼5例,外伤性前房出血性青光眼5例,年龄相关性白内障膨胀期2例,白内障术后高眼压4例。在应用常规降眼压药物治疗后仍不能有效降低眼压者,采用在裂隙灯显微镜前行前房穿刺术放液术。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。并发症有前房出血5例,虹膜与穿刺口粘连2例,晶状体损伤1例。结论:前房穿刺术是治疗高眼压持续状态的简单有效的方法,可以避免长期大量使用全身降眼压药物的副作用,迅速缓解症状,减轻高眼压对视功能的损害。

AIM:To observe the therapeutic effect of anterior chamber paracentesis in glaucoma patients with sustained high intraocular pressure(IOP).METHODS:Thirty-six cases of glaucoma patients with sustained high intraocular pressure,including 16 cases of acute angle-closure glaucoma in acute outbreak period,4 cases of chronic angle-closure glaucoma,5 cases of neovascular glaucoma,5 cases of glaucoma secondary to traumatic hyphema,2 cases of age-related cataract at intumescent stage and 4 cases of glaucoma after cataract surgery.Using slit lamp microscope,anterior chamber paracentesis was performed when the IOP can not decrease effectively after conventional drug therapy.RESULTS:The IOP in all the patients decreased rapidly after anterior chamber paracentesis,with the relief of eye pain and headache at the same time.Complications were hyphema in 5 cases,adhesion of iris and cornea puncture site in 2 cases and lens injury in 1 case.CONCLUSION:Anterior chamber paracentesis is a simple,rapid and effective treatment to the glaucoma patients with sustained high intraocular pressure,which can reduce the visual function damage,and avoid the side effects of long-term use of systemic hypotensive drugs.

R779.6