地塞米松在慢性青光眼手术前的应用

Preoperative utilize of Dexamethason in chronic glaucoma

目的探讨地塞米松在漫单或慢闭术前应用对术后服部炎症抑制情况。方法对54例90眼慢单或侵闭患者，术前口服地塞米松1．5mg，每6小时1次，共4次。然后行巩膜瓣下咬切术，另78例126眼术前不用地塞米松作对照组。结果术后2周内地塞米松组眼压控制及视力改变显著优于对照组；炎症反应显著较轻。结论慢性青光眼术前用地塞米松可减轻术后眼部炎症反应。

Objective To evaluate the effect of pre-operation use of Dexamethason in chronic open-angle glaucoma or chronic close-angle glaucoma.Method 54 patients (wes) before subscleral scleratomy taking Dexamethason 1.5mg 6h×4 are in contrast with 78 patients(126 eyes)without taking Dexamethason.Result In two weeks of pose-operation controlof the internal-ocular pressure or recover of visual acuity in taing Dexamethason group is significantly superior to control group,and pre-operation ioflammation in taking Dexamethason group is significanfly milderthan that of in control group. conclusion preoperative utilize of Dexamethason can reduce inflammation in eye and improve pose-operation recovery.