玻璃体视网膜术后患者眼压的早期监测

Monitoring intraocular pressure in the early period of post-vitrectoing

目的 :探讨玻璃体视网膜手术后患者早期眼压变化及术后恶心、呕吐、头痛、眼痛症状与眼压的关系。方法 :采用非接触性眼压计 (NCT)对 40例玻璃体视网膜手术后患者进行早期眼压监测 ,并记录出现恶心、呕吐、头痛、眼痛的情况。结果 :术后首次眼压升高发生于手术当天者占 32 .5 % ,术后第 1天占 37.5 % ,术后第 2天占 5 % ,第 3天占 2 .5 % ;术后 31例眼压升高患者中有 11例无明显症状。结论 :玻璃体视网膜手术后眼压升高多发生在术后早期 ,术后恶心、呕吐、头痛、眼痛与眼压升高有关 ,无症状患者眼压仍然可能升高。术后早期监测眼压有利于及时发现并处理术后高眼压 ,防止眼压过高造成视功能不可逆的损害。

Purpose:To investigate the changes in intraocular pressure(IOP)the early period of post vitvectomy and the relationship between IOP and postoperative symptoms such as nausea, vomiting, headache and eye pain. Methods:To measure the IOP of 40 cases (40 eyes) none contact tomography(NCT) was measured and symptoms such as nausea, vomiting, headache and eye pain was recorded to analyze the relationship between the symptoms and IOP. Result:The elevation of IOP appearing on the operation day was up to 32.5%, 1 day after surgery was 37.5%, 2 days after was 5% and 3 days after was 2.5%. Symptoms such as nausea, vomiting, headache and eye pain were related to the elevation of IOP. Among the 31 cases of elevation of IOP, 11 cases had no symptoms. Conclusion:The elevation of IOP appeared early after vitrectomy. The postoperative symptoms were related to the IOP increahe.Patients who had no symptoms were not excluded from the elevation of IOP. NCT is an ideal instrument to monitor IOP in the early period of post vitrectomy.