摘要
目的 :探讨消除白内障囊外摘除加人工晶体植入术后患者术眼、额部胀痛等不适的方法。方法 :将施行白内障囊外摘除加人工晶体植入术 82例、90眼随机分为治疗组 4 6眼、空白对照组 4 4眼 ,治疗组术后4h静脉输入 2 0 %甘露醇 2 5 0ml,2组均在术后 2 4h测眼内压。结果 :术后 2 4h甘露醇治疗组眼内压平均升高4 .2± 2 .1mmHg ,空白对照组平均升高 12 .9± 2 .7mmHg ,差异有显著性 (P <0 .0 5 )。术后 2 4h平均眼内压甘露醇治疗组为 19.4± 2 .2mmHg ,均未高于 2 5mmHg ,空白对照组为 2 8.1± 2 .9mmHg ,2 4眼 (5 5 % )眼内压高于30mmHg。结论 :在可能出现术后高眼压之前 ,静脉输入甘露醇 。
Objective:To explore a useful way to dispel the unwell feeling after extracapsular cataract extraction (ECCE)+ intraocular lens(IOL)implantation. Method:90 eyes of 82 cases performed ECCE+IOL implantation were divided into treatment group(46 eyes)and control group(44 eyes).After 4 hours of operation, mannitol (20%,250ml)was injected into the bodies of the treatment group.IOP(intraocular pressure)was measured after 24 hours of operation. Result:After postoperative 24 hours,IOP was increased 4.2±2.1mmHg on average in treatment group, 12.9± 2.7mmHg on average in control group( P <0.05).IOP was 19.4±2.2mmHg on average in treatment group, 28.1± 2.9 mmHg on average in control group. Conclusion: Venous inflow of mannitol can prevent high eye pressure caused by hyaluronic acid.
