医学
超声乳化术
穿刺
结束语(心理学)
眼科
房角镜
青光眼
白内障摘除术
眼压
外科
视力
市场经济
经济
腹水
作者
Dennis SC Lam,Clement C. Tham,Jimmy S.M. Lai,Dexter Y.L. Leung
出处
期刊:Current Opinion in Ophthalmology
[Ovid Technologies (Wolters Kluwer)]
日期:2007-03-01
卷期号:18 (2): 146-151
被引量:52
标识
DOI:10.1097/icu.0b013e32808374c9
摘要
Purpose of review Recent advances in the management of acute primary angle closure include argon laser peripheral iridoplasty, immediate anterior chamber paracentesis, and cataract or lens extraction by phacoemulsification. This review summarizes current thoughts on the role of these treatment modalities. Recent findings Argon laser peripheral iridoplasty has been shown to be superior to treatments using combined topical and systemic medications in controlling intraocular pressure in acute primary angle closure. Immediate paracentesis has been shown to be very effective for aborting the condition. This is a good alternative for suitable cases and especially in settings in which laser equipment is not readily available. Cataract or lens extraction by phacoemulsification appears to be promising in preventing progression to chronic angle closure glaucoma after acute primary angle closure. Summary Surgical trials are underway to examine the role of cataract/lens extraction in post-acute primary angle closure. This technique has the potential to prevent recurrence of the condition and progression to chronic angle closure glaucoma. With existing and upcoming new data on managing acute primary angle closure, it is hopeful that a more optimal treatment algorithm will be established soon.
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