前房穿刺术在青光眼急症处理中的益处。
Benefits of anterior chamber paracentesis in the management of glaucomatous emergencies.
作者信息
Cioboata M, Anghelie A, Chiotan C, Liora R, Serban R, Cornăcel C
机构信息
Emergency Eye Hospital, Bucharest.
Clinical Emergency Ophthalmology Hospital, Bucharest.
出版信息
J Med Life. 2014;7 Spec No. 2(Spec Iss 2):5-6.
UNLABELLED
Anterior chamber paracentesis (ACP) is an alternative technique to reduce intraocular pressure (IOP) in patients with acute closed-angle glaucoma (ACAG) and requires controlled drainage of aqueous humor from the anterior chamber using a needle or an incision paracentesis with a knife.
PURPOSE
Evaluation of efficacy and safety of AC paracentesis in acute increases of intraocular pressure.
METHOD
This was an observational study done on a group of 24 patients with acute, unilateral increases of IOP> 50mmHg. IOP was measured before, 10 minutes, 1 day, 7 days and 30 days after ACP using applanation tonometry.
RESULTS
Intraocular pressure decreased from an average of 52.5 mmHg to 25.5 mmHg to 17.5 mmHg at 10 minutes and 7 days from the ACP. Anterior chamber paracentesis combined with glaucoma medication led to the cessation of symptoms in all patients included in the lot and the resolution of corneal edema in 20 cases.
CONCLUSION
ACP is safe and effective in acute increases of IOP in the acute form of the primary angle closure glaucoma but remains an adjunct to conventional therapy drug.
未标注
前房穿刺术（ACP）是降低急性闭角型青光眼（ACAG）患者眼压（IOP）的一种替代技术，需要使用针或用刀进行切口穿刺从前房控制性引流房水。
目的
评估前房穿刺术在眼压急性升高时的疗效和安全性。
方法
这是一项对24例急性单侧眼压升高>50mmHg患者进行的观察性研究。使用压平眼压计在进行前房穿刺术之前、之后10分钟、1天、7天和30天测量眼压。
结果
眼压在进行前房穿刺术10分钟时从平均52.5mmHg降至25.5mmHg，在7天时降至17.5mmHg。前房穿刺术联合青光眼药物治疗使该组所有患者症状消失，20例患者角膜水肿消退。
结论
在前房穿刺术在原发性闭角型青光眼急性发作时眼压急性升高的治疗中是安全有效的，但仍是传统药物治疗的辅助手段。
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