前房穿刺放液对巩膜扣带术中高眼压的治疗效果

The treatment of anterior chamber paracentesis for elevated intraocular pressure in scleral buckling

目的:观察前房穿刺放液对巩膜扣带术中引起的高眼压的治疗效果。方法:观察分析巩膜扣带术中引起高眼压的28例28眼有晶状体眼孔源性视网膜脱离患者;所有患者术中均经双目间接眼底镜直视下引流视网膜下液、定位、冷凝视网膜裂孔,并给予节段性巩膜外加压或联合巩膜环扎术;术毕前眼底检查发现视网膜动脉搏动,眼压较高,故行前房穿刺放液治疗。结果:术后第2d行非接触眼压计测量,所有患者眼压均低于21mmHg,无角膜水肿、浅前房及视网膜动脉阻塞等并发症的发生。结论:前房穿刺放液术治疗巩膜扣带术中引起的高眼压安全、有效,是一种简便、易行的处理方法。

AIM： To observe the paracentesis for elevated scleral buckling. treatment of anterior chamber intraocular pressure （lOP） in METHODS. Totally 28 cases 28 eyes with phakic rhegmatogenous retinal detachment who have elevated lOP in the scleral buckling were observed and analyzed; In operation, all patients underwent subretinal fluid draining, positioning, retinal breaks condensing, and given segmental scleral pressure or combined with scleral buckling under direct vision with binocular indirect ophthalmoscope; Before the end of operation, patients with the fundus examination revealed retinal arterial pulse, high lOP were given anterior chamber paracentesis fluid therapy. RESULTS： In the first day after surgery, all patients were given lOP checks, the result of all patients were with lOP less than 21mmHg, and no corneal edema, shallow anterior chamber and retinal artery occlusion etc complications. CONCLUSION： Anterior chamber paracentesis is a simple, easy, safe and effective treatment method for high lOP caused by scleral buckling.