近视眼术后激素性高眼压的观察及护理

Observation and Nursing Care of Post-operative Patients With Hormonal High Intraocular Pressure After Underwent Surgery for Myopia

目的 :探索准分子激光手术后应用皮质类固醇激素的眼压变化情况 ,以及时总结预防和护理措施 ,调整用药方案 ,减少术后并发症的发生。方法 :将近视手术病人按年龄、性别、屈光度分组 ,采取相同的术后用药方案 ,分别于术前、术后 1周、1个月、3个月、6个月进行眼压检测 ,并行统计学分析。结果 :发生激素性高眼压与年龄、性别、屈光度之间无明显关系 ,其发生高眼压的时间会因不同的屈光度、用药时间长短及用药频率而不同。结论 :近视眼术后激素性高眼压不一定发生在每一个体 ,但在术前应全面了解病人的眼底情况和术前眼压 ,并在术后做好密切的眼压观察 。

Objective: to probe into changes of intraocular pressure in postoperative patients underwent quasi-molecular laser surgery used corticosteroid, to sum up both prevention and nursing measures in time, to adjust therapeutic drug regimen so that to reduce postoperative complications. Method: preoperative myopia patients were divided into different groups according to their age, sex, and ocular refraction. Patients of all groups were given the same postoperative drug regimen. And intraocular pressures of all patients were measured before operation, and 1 week, 1 month, 3 months, and 6 months after operation respectively. All data of patients were analyzed statistically. Results: the happening of hormonal high intraocular pressure in postoperative myopia patients had no relation with their age, sex, and ocular refraction. However, patients developed high intraocular pressure in different times, to some extent depend upon their different ocular refraction, the duration and frequencies of drug therapy. Conclusion: corticosteroid induced high intraocular pressure in postoperative myopia patients might not be developed in each person. One should know the ocular fundus status and preoperative ocular pressures of patients well. And one should also observe postoperative ocular pressure of patients closely, in order to avoid the postoperative complications from happening.