曲安奈德在前段玻璃体切割术中的应用

The clinical effect oftriamcinolone acetonide applicated in the anterior vitrectomy

目的观察应用曲安奈德在前段玻璃体切割术中的临床效果。方法在43例47只眼行前段玻璃体切割手术中，利用曲安奈德附着于玻璃体的性质，单次或多次向前房内注射曲安奈德，实施了准确的前段玻璃体切割术，术后观察视力、角膜情况、前房内炎症反应、眼压变化、黄斑水肿情况等。结果瞌安奈德能清晰显示透明的玻璃体，安全准确地切除目标玻璃体，同时术后炎症反应明显减轻。术后最终随访视力稳定提高，无其他严重并发症发生。结论在前段玻璃体切割术中使用曲安奈德，可以提高手术的安全性和时效，抑制术后炎症反应，减少近期并发症，视力预后较好。

Objective To explore the clinical effect oftriamcinolone acetonide applicated in the anterior vitrectomy.Methods A clinical retrospective study of 43 patients including 47 eyes who underwent precise anterior vitrectomy with the application of triamcinolone acetonide by one time or several times was conducted.After surgeries, the visual acuity, the cornea opacity, the inflammatory reactions in the anterior chamber, the changes of intraocular pressure and the edema of the macular were recorded.Results Triamcinolone acetonide stained the anterior vitreous body so well that the tissue and the boarder were discovered clearly and it was easier to cut away thevitreous body.At the same time, it facilitated to ease the inflammation and the visual acuity was improved greatly without other severe adverse effect.Conclusions The application of triamcinolone acetonide has the superiority in boosting the safety of the anterior vitrectomy, reducing the wasted time, inhibiting the inflammation, decreasing the incidence of complication and improving the visual acuity.