玻璃体视网膜手术后高眼压的临床分析

The Clinical Analysis of Intraocular Pressure Elevation after Vitreoretinal Operation

目的探讨玻璃体视网膜手术后发生高眼压患者的临床特点。方法观察由同一术者行玻璃体视网膜手术的患者90例(102眼)。记录高眼压的发生情况及发病原因分析。结果行玻璃体视网膜手术术后早期高眼压20眼。高眼压发生时间:术后发生高眼压的20眼中,发生于术后前3天的有12眼,第4天至1周的有5眼,1周以后的有3眼。4眼内填充平衡盐灌注高眼压发生率2.43%;填充C3F8气体高眼压发生率23.27%;硅油填充的发生率25.87%。不同填充物致高眼压有统计学差异(P<0.05)。结论高眼压是玻璃体视网膜手术后常见并发症,应早期发现并给与积极治疗。

Objective To clinical characteristics of high intraocular pressure in patients with vitreoretinal operation after discussion.Methods To observe by the same surgeon for vitreoretinal operation in 90 patients （102 eyes）. Analysis on the incidence and cause of record high intraocular pressure.Results Vitreoretinal operation early postoperative high IOP in 20 eyes. High intraocular pressure occurred time： high IOP of 20 eyes after surgery, occurred in the first 3 days after surgery in 12 eyes, fourth days to 1 weeks in 5 eyes, 1 weeks later in 3 eyes. The intraocular filling balance salt infusion high intraocular pressure occurred in 2.43%; filling C3F8 gas high intraocular pressure occurred in 23.27% silicone oil filled the incidence of 25.87%. Different fillers caused by high intraocular pressure had significant difference （P〈0.05）.Conclusion High intraocular pressure is a common complication after vitreoretinal operation, early discovery and give active treatment.