[Novel exploration of emergency treatment for ueitic acute angle closure glacuma].
OBJECTIVE
To explore the effects of anterior chamber paracentesis plus pupillary block relief under slit-lamp microscope for the emergency treatment of uveitic acute angle closure glaucoma (ACG).


METHODS
In early stage, 14 uveitc acute ACG patients received anterior chamber paracentesis plus pupillary block relief while another 10 uveitc acute ACG patients underwent laser peripheral iridectomy (LPI). The intraocular pressure (IOP), degree of Tyndall, degree of pupillary block and severe adverse events were recorded at each observation timepoint.


RESULTS
The IOP values for the paracentesis plus pupillary block relief group were (9.2 ± 2.1) mm Hg, (12.4 ± 3.7) mm Hg and (14.1 ± 2.6) mm Hg at 1, 48 h and 10 d vs (24.5 ± 7.1) mm Hg, (22.2 ± 8.6) mm Hg and (19.3 ± 9.3) mm Hg respectively for the LPI group. The inflammatory reaction of anterior chamber was more relieved in the paracentesis plus pupillary block relief group at Day 10. Pupillary block was observed in 1(1/14) patient from the paracentesis plus pupillary block relief group and 6 (6/10) patients from the LPI group at Day 10. Mild hemorrhage at pupillary margin was observed in 2 cases from the paracentesis plus pupillary block relief group. Both were self-absorbed within 10 days.


CONCLUSIONS
Anterior chamber paracentesis plus pupillary block relief under slit-lamp microscope is the safe and effective emergency treatment for uveitic acute ACG. And it may offer a basis for further therapy.
Department of Ophthalmology, Peking Union Medical College Hospital & Chinese Academy of Medical Sciences, Beijing 100730, China.
Gang-Wei
GW
Cheng
Jia-Liang
JL
Zhao
Xiao-Li
XL
Liu
Ai-Ling
AL
Bian
Dong-Dong
DD
Xu
Mei-Fen
MF
Zhang
Jin
J
Mao
Jian-Min
JM
Ma
D000867:Anterior Chamber; D004638:Emergency Treatment; D015812:Glaucoma, Angle-Closure; D006801:Humans; D007429:Intraocular Pressure; D032801:Iridectomy; D014065:Tonometry, Ocular