中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
9期
692-694
,共3页
张建华%王予东%石荣先%方亚非%晁小蕊%李彬
張建華%王予東%石榮先%方亞非%晁小蕊%李彬
장건화%왕여동%석영선%방아비%조소예%리빈
眼压%青光眼%手术%眼轴长度
眼壓%青光眼%手術%眼軸長度
안압%청광안%수술%안축장도
Intraocular pressure%Glaucoma%Surgery%Optic axial length
目的 研究青光眼术后眼轴长度的改变,为临床高眼压状态下准确计算人工晶状体的屈光度数提供参考依据.方法 对19例青光眼行抗青光眼手术治疗后的眼压、眼轴长度的改变进行分析.结果 本组19例青光眼行抗青光眼手术治疗,术后平均眼压(15.20±2.66) rnm Hg与术前平均眼压(60.27±10.60) mmHg相比,差异有统计学意义(t=19.15,P=0.000);术后平均眼轴长度(21.86±0.80) mm与术前平均眼轴长度(22.28±0.81) mm相比,差异有统计学意义(t=49.19,P=0.000);手术前后平均眼压差为(45.07±10.26) mmHg,平均眼轴长度差为(0.42±0.04) mm.结论 高眼压引起眼轴长度增加,对于术前眼压不能控制的膨胀期白内障继发青光眼,测量眼轴时应考虑眼压因素对测量结果的影响,避免术后发生人工晶状体屈光误差.
目的 研究青光眼術後眼軸長度的改變,為臨床高眼壓狀態下準確計算人工晶狀體的屈光度數提供參攷依據.方法 對19例青光眼行抗青光眼手術治療後的眼壓、眼軸長度的改變進行分析.結果 本組19例青光眼行抗青光眼手術治療,術後平均眼壓(15.20±2.66) rnm Hg與術前平均眼壓(60.27±10.60) mmHg相比,差異有統計學意義(t=19.15,P=0.000);術後平均眼軸長度(21.86±0.80) mm與術前平均眼軸長度(22.28±0.81) mm相比,差異有統計學意義(t=49.19,P=0.000);手術前後平均眼壓差為(45.07±10.26) mmHg,平均眼軸長度差為(0.42±0.04) mm.結論 高眼壓引起眼軸長度增加,對于術前眼壓不能控製的膨脹期白內障繼髮青光眼,測量眼軸時應攷慮眼壓因素對測量結果的影響,避免術後髮生人工晶狀體屈光誤差.
목적 연구청광안술후안축장도적개변,위림상고안압상태하준학계산인공정상체적굴광도수제공삼고의거.방법 대19례청광안행항청광안수술치료후적안압、안축장도적개변진행분석.결과 본조19례청광안행항청광안수술치료,술후평균안압(15.20±2.66) rnm Hg여술전평균안압(60.27±10.60) mmHg상비,차이유통계학의의(t=19.15,P=0.000);술후평균안축장도(21.86±0.80) mm여술전평균안축장도(22.28±0.81) mm상비,차이유통계학의의(t=49.19,P=0.000);수술전후평균안압차위(45.07±10.26) mmHg,평균안축장도차위(0.42±0.04) mm.결론 고안압인기안축장도증가,대우술전안압불능공제적팽창기백내장계발청광안,측량안축시응고필안압인소대측량결과적영향,피면술후발생인공정상체굴광오차.
Objective To investigate the change of optic axial length after glaucoma surgery so as to provide reference for the accurate measurement of the intraocular lens in intraocular hypertension state.Methods The changes of intraocular pressure and optic axial length after glaucoma surgery in 19 patients were analysed.Results In 19 patients with glaucoma treated with glaucoma surgery,postoperative average intraocular pressure ( 15.20 ± 2.66mmHg),comparing with the average intraocular pressure (60.27 ± 10.60 mmHg) before surgery,there was significant difference (t =19.15,P =0.000),and the postoperative average optic axial length (21.86 ± 0.80) mm,comparing with the average optic axial length (22.28 ±0.81 mm) before surgery,there was significant difference ( t =49.19,P =0.000).The average intraocular pressure difference was (45.07 ± 10.26) mmHg and average optic axial length difference was (0.42 ± 0.04) mm before and after surgery.Conclusion High intraocular pressure can cause the increase in opticaxial length.For patients suffered from secondary glaucoma due to intumescent cataract whose preoperative intraocular pressure is uncontrollable,intraocular pressure factors should be taken into account when measuring optic axial length,in order to avoid the refractive accident of intraocular lens after operation.
