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目的探讨原发性闭角型青光眼急性发作期的手术时机。方法对我院在2007年1月至2010年1月期间发生的42例原发性闭角型青光眼的诊治情况及手术时机进行回顾性总结分析。结果对于术前眼压控制好,用降眼压药物治疗后眼压下降,瞳孔缩小,眼部充血反应减轻者术后眼压控制理想,术后恢复好。对于术前眼压控制不好,瞳孔扩大,眼部充血反应重者手术后眼压控制不理想,术后反应重并发症多。结论原发性闭角型青光眼急性发作的手术应在眼压平稳及眼部炎症反应减轻后手术效果好。
Objective To investigate the surgical timing of acute angle-closure glaucoma in acute attack. Methods The diagnosis and treatment of 42 cases of primary angle-closure glaucoma in our hospital from January 2007 to January 2010 were retrospectively analyzed. The results for the preoperative control of intraocular pressure, intraocular pressure after treatment with intraocular pressure medication decreased pupil, ophthalmic hyperemia response to postoperative intraocular pressure control ideal postoperative recovery. Preoperative control of intraocular pressure is not good, dilated pupils, severe eye reaction response after intraocular pressure control is not ideal, postoperative complications and more. Conclusions The surgery of acute primary angle-closure glaucoma should be performed well after the intraocular pressure is stable and the inflammation of the eye is relieved.