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对闭角青光眼急性发作及青光眼滤过性手术后,虹膜炎症反应重者,应用高渗剂加氟美松治疗,经临床观察,效果良好,现报导如下。治疗方法:除用一般降眼压药外,同时加用5％葡萄糖100ml或20％甘露醇250ml,加上氟美松10mg,每日1～2次静脉注射。治疗结果:15例闭角型青光眼急性发作,采用上述方法,除l例外均有明显效果。即角膜水肿减轻或消失,刺激症状减轻,角膜后沉淀物减少,眼压明显下降。为手术治疗创造了条件。有17例滤过性手术后刺激症状重者,用本法2~9次,裂隙灯下症状明显减轻。
Right angle closure glaucoma and glaucoma surgery, glaucoma filtration surgery, severe inflammation of the iris, the application of hypertonic agents and dexamethasone treatment, the clinical observation, the effect is good, are as follows. Treatment: In addition to the general intraocular pressure medication, while adding 5% glucose or 20% mannitol 100ml 250ml, plus flumestane 10mg, 1 or 2 times a day intravenously. Treatment outcome: 15 cases of acute angle-closure glaucoma attack, using the above method, with the exception of l have significant results. That corneal edema to reduce or disappear, to reduce irritation symptoms, post-corneal deposition decreased, intraocular pressure decreased significantly. Create conditions for surgical treatment. There are 17 cases of severe irritation symptoms after surgery, using this method 2 to 9 times, the symptoms under the slit lamp significantly reduced.