Clinical Application of Anterior Chamber Paracentesis in Patients with Sustained High Intraocular Pressure
Abstract: Aim: To observe the therapeutic effect of anterior chamber paracentesis in glaucoma patients with sustained high intraocular pressure (IOP). Methods: 43 patients with 43 different glaucoma types, after systemic and local ocular hypotensive medication of saturated dose, continued to hold high intraocular pressure which did not fall and was in a sustained state. In order to alleviate the suf-fering of patients, relieve symptoms and quickly reduce eye pressure to create the conditions for future surgery, urgent measures were taken using anterior chamber paracentesis. In the aqueous release process, tapping and puncture could be stopped when the cornea became clear and intra-ocular pressure was normal. Results: After implementation of paracentesis releasing the right amount of aqueous humor, among the patients of different glaucoma types with sustained high intraocular pressure, intraocular pressure decreased immediately; eye swelling, headache and other symptoms were relieved; visual acuity improved to varying degrees; severe crisis was eased under control; and all patients had no significant complications. Conclusion: Anterior chamber pa-racentesis is a safe and effective emergency way used after ocular hypotensive medication of satu-rated dose in patients with sustained high intraocular pressure, which can avoid long-term IOP- lowering drug-induced side effects, quickly reduce intraocular pressure and improve vision, relieve symptoms to alleviate the suffering of patients, and prevent visual impairment caused by high intraocular pressure, in order to create favorable conditions for the safety and efficiency of reoperation.
文章引用: 许海嘉 , 陈 鸣 , 陈 卓 , 谢碧华 , 鲜依鲆 , 唐兵华 (2015) 前房穿刺放液术在高眼压持续状态下的临床应用。 眼科学， 4， 10-14. doi: 10.12677/HJO.2015.41002
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