J Korean Ophthalmol Soc.  2005 Jun;46(6):1000-1007.

The Effect of Stellate Ganglion Block in Various Types of Glaucoma

Affiliations
  • 1Department of Ophthalmology, Wonju Christian Hospital, Yonsei University, Wonju College of Medicine, Wonju, Korea. eyesj@wonju.yonsei.ac.kr
  • 2Department of Anesthesiology, Wonju Christian Hospital, Yonsei University, Wonju College of Medicine, Wonju, Korea.

Abstract

PURPOSE
To examine the effect of stellate ganglion block (SGB) in various types of glaucoma and ocular hypertension. METHODS: The subjects were chosen from patients who visited our hospital for glaucoma and postoperative ocular hypertension in the 6-month period from A to B (Ed-give the dates). SGB was performed one or four times with 15 eyes from four types of glaucoma and postoperative ocular hypertension patients. The intraocular pressure (IOP) of eyes that had undergone SGB was checked after 1 hour following SGB. We investigated the efficacy of SGB on the 15 patients. RESULTS: In primary open-angle glaucoma (POAG), early secondary glaucoma and post-operative ocular hypertension, the mean IOP of eyes that had undergone SGB decreased after 1 hour following SGB. However, in primary angle-closure glaucoma (PACG) and advanced secondary glaucoma, there was a rise in mean IOP after 1 hour following SGB. CONCLUSIONS: In the present study, SGB may be effective in treating POAG, early secondary glaucoma and postoperative ocular hypertension. However, in PACG and advanced secondary glaucoma, SGB may be considered to be harmful treatment modality.

Keyword

IOP; Primary angle-closure glaucoma; Secondary glaucoma; Stellate ganglion block

MeSH Terms

Glaucoma*
Glaucoma, Angle-Closure
Glaucoma, Open-Angle
Humans
Intraocular Pressure
Ocular Hypertension
Stellate Ganglion*
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