36 cases (36 eyes) with acute angle-closure glaucoma were randomly divided into two groups. Study group of 20 eyes were treated without pilocarpine initially, and the controlled group of 16 eyes were treated with intensive instillation of pilocarpine. The differents between the two groups were no statistical significant at P>0.05 level (successful rate 90% versus 93.75%) Average I.O.P. after treatment were 11.76 ± 11.96mmHg (study group) and 17.69 ± 4.23mmHg. (control group) Beside many parasympathetic side effects, ”frequent” instillations of pilocarpine may increase the relative pupillary block and exacerbate the attack. In our impression it is better to select ”infrequent” instillations of 1% or 2% pilocarpine to constrict the pupil when I.O.P. was controlled under 30mmHg.
36 cases (36 eyes) with acute angle-closure glaucoma were randomly divided into two groups. Study group of 20 eyes were treated without pilocarpine initially, and the controlled group of 16 eyes were treated with intensive instillation of pilocarpine. The differents between the two groups were no statistical significant at P>0.05 level (successful rate 90% versus 93.75%) Average I.O.P. after treatment were 11.76 ± 11.96mmHg (study group) and 17.69 ± 4.23mmHg. (control group) Beside many parasympathetic side effects, ”frequent” instillations of pilocarpine may increase the relative pupillary block and exacerbate the attack. In our impression it is better to select ”infrequent” instillations of 1% or 2% pilocarpine to constrict the pupil when I.O.P. was controlled under 30mmHg.