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目的探讨持续高眼压状态下行原发性急性闭角型青光眼的手术方法及治疗效果。方法对20例(22只眼)高眼压用药物控制不良的原发性急性闭角型青光眼患者行穿刺降眼压联合。结果本组术后大多数保留了较好的视力,22只眼中19只眼眼压控制在10~21 mm Hg,3只眼加用降眼压药物眼压控制正常。结论对持续高眼压下用药治疗效果不理想的原发性急性闭角型青光眼,应及早行手术治疗,以防视功能进一步受损及视力不可逆永久性丧失。持续高眼压状态下原发性急性闭角型青光眼行复合式小梁切除术是首选的、可行的、安全、有效的。
Objective To investigate the surgical treatment and treatment of primary acute angle-closure glaucoma under continuous high intraocular pressure (IOP). Methods Twenty patients (22 eyes) with intraocular hypertension were treated with puncture and intraocular pressure reduction in primary acute angle-closure glaucoma patients with poorly controlled drugs. Results Most of the patients in this group had better visual acuity. The intraocular pressure of 19 eyes in 22 eyes was controlled at 10-21 mm Hg. The intraocular pressure of 3 eyes plus intraocular hypertension drugs was normal. Conclusions The primary acute angle-closure glaucoma with unsatisfactory therapeutic effect under continuous high intraocular pressure should be treated as early as possible to prevent the further impairment of visual function and permanent irreversible loss of visual acuity. Continuous high intraocular pressure in the primary acute angle-closure glaucoma combined trabeculectomy is the first choice, feasible, safe and effective.