睫状体冷冻联合球后注射氯丙嗪治疗绝对期青光眼46例分
析
李东豪;陈林;胡利
【期刊名称】《中国实用眼科杂志》 【年(卷),期】2011(029)008
【摘要】目的 评价睫状体冷冻联合球后注射氯丙嗪治疗绝对期青光眼的疗效.方法 对46例绝对期青光眼患者,采用2%利多卡因1.5ml和氯丙嗪1.0ml(25 mg)按常规方法 行术眼球后注射,在距角膜缘3 mm处经球结膜直接冷冻睫状体,冷冻温度-70℃,每点冷冻时间60s,共冷冻6至7个点.结果 (1)自觉症状(眼胀、眼痛、头痛):治疗后8例(17.4%)较治疗前46例(100%)明显减少;(2)眼压:治疗后3个月的平均眼压22.3 mm Hg(9.7~28.6mm Hg)较治疗前平均眼压48.8 mm Hg(43.3-61.7 mm Hg)明显降低.结论 睫状体冷冻联合球后注射氯丙嗪是治疗绝对期青光眼的一种有效、安全和经济的方法.%Objective To evaluate the effect of cyclocryoapplication and chloropromazine retrobulbar injection on glaucoma consummatum. Methods Forty-six absolute glaucoma cases were given retrobulbar injection using 1.5ml of 2% Lidocaine and 1.0ml (25mg) of chloropromazine with general method. Cyclocryoapplication was administered on bulbar conjunctiva from 3mm comeal limbus (the distance between the point and comeal limbus was 3mm), with -70℃ temperature, 60 seconds and 6 or 7 points. Results The subjective symptom such as eye distend phthalmalgia, and headache reduced from 46 cases (100%) before therapy to 8 cases