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急性闭角型青光眼只要明确诊断,就应争取早期手术。为了得到一个好的手术效果,尽可能在短期内将眼压控制在正常或较为平稳的情况下做手术,这需要一个综合的降压措施,现将我们常用的方法介绍如下:1 急性发作期。由于眼压特别高,患者常有严重的头痛、眼痛、恶心、呕吐等症状。此时给口服药及点眼药,一时难以产生效果。有时因呕吐可将药物吐出来,应首先用2％普鲁卡因2ml球后封闭,可阻断睫状神经节,减少房水产生,以缓解症状。2 缩瞳药。立即应用2～4％毛果芸香碱点眼,1分钟1次,点5次;5分钟1次,点5次;15分钟1次,点2次;30分钟1次,点2次,共点2小时。之后测眼压,眼压降至正常改为2
Acute angle-closure glaucoma as long as a clear diagnosis, it should fight for early surgery. In order to get a good surgical results, as far as possible in the short term intraocular pressure control in normal or more stable operation under the circumstances, which requires a comprehensive step-down measures, now we commonly used methods are described below: 1 acute exacerbation . Due to the high intraocular pressure, patients often have severe headache, eye pain, nausea, vomiting and other symptoms. At this point to oral medicine and eye drops, sometimes difficult to produce results. Sometimes vomiting drugs can spit it out, should first use 2% procaine 2ml ball closed, can block the ciliary ganglia, reduce aqueous humor to relieve symptoms. 2 miotic medicine. Immediately apply 2 ~ 4% pilocarpine eye, 1 minute 1 time, point 5 times; 5 minutes 1 time, point 5 times; 15 minutes 1 time, point 2 times; 30 minutes 1 time, point 2 times, a total of 2 hours. After measuring intraocular pressure, intraocular pressure dropped to normal to 2