摘要
目的:探讨玻璃体切割硅油填充术后早期高眼压的原因、临床表现及术后处理。方法:对行玻璃体切割硅油填充术后的97例97眼患者的临床资料进行回顾性分析,高眼压的标准为术后眼压≥21mmHg(1mmHg=0.133kPa)。结果:患者27例(27.84%)出现高眼压,以术后早期(术后1wk内)为多,所有患者经降眼压药物治疗及调整激素用量或停用激素处理后,眼压均控制在正常范围(10～21mmHg)。结论:硅油填充术后早期高眼压是常见的并发症之一,术后眼内组织水肿、炎症反应、硅油填充过量等可能是引起术后早期高眼压的主要原因,但早期对症治疗均使眼压恢复正常,可早期预防视功能的损害。
AIM：To investigate the causes, clinical manifestations and postoperative treatment of high intraocular pressure（IOP） after vitrectomy and silicone oil tamponade. METHODS： Clinical data of 97 cases （97 eyes） after pars plana vitrectomy and silicone oil tamponade were retrospectively analyzed.The standard of high IOP is that postoperative IOP is equal to or higher than 21mmHg （1mmHg =0.133kPa ）. RESULTS：Twenty-seven cases（27.84%） showed high IOP, most of them occurred at early postoperative.（within postoperative 1 week） The IOP of all the patients was controlled in normal range （10 ~ 21mmHg ）after drug treatment to lower IOP and adjust the dosage of hormone or discontinuation of hormone treatment. CONCLUSION：Early high IOP after silicone oil tamponade is one of the common complications. Postoperative intraocular tissue edema, inflammation, and overfilled silicone oil may be the main reasons for postoperative early high IOP. But early symptomatic treatment could make the IOP return to normal and prevent visual impairment.
出处
《国际眼科杂志》
CAS
2012年第5期976-977,共2页
International Eye Science
关键词
视网膜脱离
玻璃体切割术
硅油填充
眼压
retinal detachment
vitrectomy
silicone oil tamponade
intraocular pressure
