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原发性急性闭角型青光眼的治疗需要手术。在急性发作眼和无症状的、窄角的对侧眼最常施行虹膜切除术。作者对虹膜切除术的原发性急性闭角型青光眼患者作了回顾性的临床研究。1969—1974年45例(93％为女性)41例为单眼原发性急性闭角型青光眼,其无症状、眼内压正常的对侧眼的房角为窄角。3例住院期间第2眼发生急性房角关闭。1例为双眼急性发作。 44例患者施行双眼虹膜切除术(33例周边切除,11例扇形切除)。1例在房角关闭眼作虹膜切除,在对侧眼局部用毛果云香硷治疗。因此,
The treatment of primary acute angle-closure glaucoma requires surgery. Iridotomy is most commonly performed in acute and asymptomatic, narrow-angle contralateral eyes. The authors performed a retrospective clinical study of patients with primary acute angle-closure glaucoma who underwent iridectomy. Forty-one patients (93% female) from 1969 to 1974 were monocular primary acute angle-closure glaucoma. Their asymptomatic and intraocular pressure were normal. The contralateral eyes had a narrow angle. Acute angle closure occurred in 2 cases during hospitalization. 1 case of acute bilateral eyes. Forty-four patients underwent iridectomy (33 peripheral resections and 11 fanctomies). One patient underwent iris resection in the corner of the eye, and the other was treated with pilocarpine in the contralateral eye. therefore,