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[摘要]
目的：探讨原发性急性闭角型青光眼(acute angle-closure glaucoma，ACG)急性发作期药物不能控制眼压者联合前房穿刺放房水的降眼压效果。
方法：回顾性研究2009-01/2012-04 ACG急性发作期药物不能控制眼压后行前房穿刺放液患者48例53眼，观察放液术后眼压水平、视力变化及术后并发症发生情况。
结果：术后29眼(54.7%)眼压控制在正常范围，22～30mmHg者6眼(11.3%)； 眼压>30mmHg者18眼(34.0%)。视力较术前明显提高。并发症有前房变浅53眼(100%)、虹膜嵌顿内口11眼(20.8%)、前房出血4眼(7.5%)。
结论：对ACG急性发作期药物不能控制者联合前房穿刺放液安全有效，可为进一步的手术治疗创造良好条件。
[Key word]
[Abstract]
AIM: To evaluate the efficacy of paracentesis of anterior chamber to treat acute angle-closure glaucoma which couldn't controlled by drugs and with persistent ocular hypertension.
METHODS: A retrospective study in the past 3 years, 48 patients(53 eyes)with acute angle-closure glaucoma were received puncture of anterior chamber when the medicine therapy couldn't lower intraocular pressure. Postoperative IOP, visions and complications were observed.
RESULTS: IOP was controled normal in 29 eyes(54.7%), IOP: 22mmHg-30mmHg in 6 eyes(11.3%), IOP> 30mmHg in 18 eyes(34.0%). Visual acuity improved significantly. Complications were shallow anterior chamber(100%), incarcerated iris(20.8%), hyphema(7.5%).
CONCLUSION: When drugs cannot control the IOP in acute angle-closure glaucoma acute exacerbation, anterior chamber paracentesis is a safe and effective in IOP control and good for further surgery.
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