药物性睫状环阻滞性青光眼的治疗(1)
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【摘要】 目的 分析药物性睫状环阻滞性青光眼的临床特点,总结其治疗方法和治疗效果。方法 对2001年4月至2008年12月在本院治疗的此类型睫状环阻滞性青光眼的临床资料进行总结、回顾性分析。结果 ①眼压:入院时的眼压43.38~81.78 mm Hg,平均为(51.66±5.46)mm Hg ;经治疗10~14 d后,所有患者眼压均控制在25 mm Hg以内。随访12月后,2例长期局部点眼药眼压一直维持在20 mm Hg左右,其他采用手术治疗的10例患者,有6例不用降眼压药物,眼压控制在20 mm Hg以内;3例眼压在21~25 mm Hg,给予局部点β 受体阻滞剂,眼压控制在20 mm Hg以内,1例眼压失控而再次手术,最终失明;②视力:治疗前12例最佳矫正视力为1 m光感至0.3,治疗后最佳矫正视力0.1~0.8。治疗前后视力比较,差异有显著性(P<0.01)。结论 这类睫状环阻滞性青光眼都具有闭角型青光眼的解剖结构,用毛果芸香碱眼压增高,用眼压下降,积极治疗可恢复有用视力。
【关键词】青光眼; 睫状环阻滞; 药物; 手术
Surgery for drug causing ciliary block glaucoma
FENG Hong cai,ZHANG You ting,CHENG Hong song,et al.Department of Ophthalmology,Xuchang City Central Hospital,Henan461000,China
【Abstract】 Objective To study clinical characteristic of drug causing ciliary block glaucoma,to evaluate the therapeutic effect of surgery for drug causing ciliary block glaucoma.Methods The clinical informations of 12cases(12 eyes)of drug causing ciliary block glaucoma diagnosed in our hospital between April 2001 and December 2008 were evaluated,vistaed summary.Results ①Intraocular pressure(IOP):Being hospitalized,the IOP of patients was 43.38~81.78 mm Hg,the mean was(51.66±5.46)mm Hg; After treating for 10~14 days,the IOP of 12 patients were controlled below 25 mm Hg.Following up 12 months,two patients kept their IOPat about 20 mm Hg by using eye drops; The other 10 patients performed an operation,the IOP of 6 patients were controlled at about 20 mm Hg without giving medicine; Three patients were 21~25 mm Hg,their IOP was controlled at 20 mm Hg after giving β receptor block medicine.The IOP of one patient was out of control; the patient lost his eye’s functioning after performing the operation.②Vision:Before treating patients,they had light
DOI:10.3760/cma.j.issn 1673 8799.2010.02.67
作者单位:461000河南省许昌市中心医院眼科
sense or vision up to 0.3 in one meter distance(after being corrected defects of vision).After treating patients,the best corrected defects of vision were 0 ......
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