The Effect of Stellate Ganglion Block in Various Types of Glaucoma.

Yoon, Ie Na; Lee, Seok Joon; Lee, Kwang Ho

Original Article

Journal of the Korean Ophthalmological Society 2005;46(6):1000-1007.
Published online June 30, 2005.

The Effect of Stellate Ganglion Block in Various Types of Glaucoma.

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.

다양한 유형의 녹내장에서 성상신경절 차단의 효과

윤이나¹,이석준¹,이광호²

Department of Ophthalmology, Wonju Christian Hospital, Yonsei University, Wonju College of Medicine¹, Wonju, Korea Department of Anesthesiology, Wonju Christian Hospital, Yonsei University, Wonju College of Medicine², Wonju, Korea

Correspondence: Ie-Na Yoon, M.D.¹

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.

Key Words: IOP;Primary angle-closure glaucoma;Secondary glaucoma;Stellate ganglion block