Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2014;7 Spec No. 2(Spec Iss 2):5-6.

Benefits of anterior chamber paracentesis in the management of glaucomatous emergencies

M Cioboata  1 , A Anghelie  2 , C Chiotan  3 , R Liora  2 , R Serban  1 , C Cornăcel  2
Affiliations
Observational Study

Benefits of anterior chamber paracentesis in the management of glaucomatous emergencies

M Cioboata et al. J Med Life. 2014.

Abstract

Anterior chamber paracentesis (ACP) is an alternative technique to reduce intraocular pressure (IOP) in patients with acute closed-angle glaucoma (ACAG) and requires controlled drainage of aqueous humor from the anterior chamber using a needle or an incision paracentesis with a knife.

Purpose: Evaluation of efficacy and safety of AC paracentesis in acute increases of intraocular pressure.

Method: This was an observational study done on a group of 24 patients with acute, unilateral increases of IOP> 50mmHg. IOP was measured before, 10 minutes, 1 day, 7 days and 30 days after ACP using applanation tonometry.

Results: Intraocular pressure decreased from an average of 52.5 mmHg to 25.5 mmHg to 17.5 mmHg at 10 minutes and 7 days from the ACP. Anterior chamber paracentesis combined with glaucoma medication led to the cessation of symptoms in all patients included in the lot and the resolution of corneal edema in 20 cases.

Conclusion: ACP is safe and effective in acute increases of IOP in the acute form of the primary angle closure glaucoma but remains an adjunct to conventional therapy drug.

Keywords: alternative technique for IOP reduction; efficiency ACP.

PubMed Disclaimer

References

    1. Arnavielle S, Creuzot-Garcher C, Bron AM. Anterior chamber paracentesis in patients with acute elevation of intraocular pressure. Graefes Arch Clin Exp Ophthalmol. 2007;245(3):345–350. - PubMed
    1. Drake MV. New medical therapies for glaucoma. Int Ophthalmol Clin. 1996;36:53–60. - PubMed
    1. Davson H. Physiology of the eye. 5th ed. N.Y. Pergamen Press; 1990. The Aqueous Humor and the Intraocular Pressure; pp. 3–95.
    1. Dumitrache M. Oftalmologie interactiva. Bucuresti: Universitara “Carol Davila”; 2006. Potop V, Glaucomul; pp. 171–196.
    1. Dumitrache M, Anitescu M, Ciocalteu A. Urgente oculare netraumatice. Editura Universitara “Carol Davila”; 2009. Glaucomul acut, Mocanu C. 267/295.

Publication types

LinkOut - more resources