中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
1期
83-85
,共3页
徐彦%樊华%郭素平%何伟
徐彥%樊華%郭素平%何偉
서언%번화%곽소평%하위
先天性白内障%前部玻切%曲安奈德
先天性白內障%前部玻切%麯安奈德
선천성백내장%전부파절%곡안내덕
Congenital cataract%Anterior vitrectomy%Triamcinolone acetonide
目的 研究曲安奈德在先天性白内障手术中双撕囊联合前段玻切术中的作用及手术后的影响.方法 在23例31只眼先天性白内障摘除手术过程中前房内注入曲安奈德标识玻璃体,应用前部玻璃体切割头将前房内的残余玻璃体彻底清除.术前及术后对术眼进行眼压测量、角膜内皮细胞计数、房闪程度、瞳孔状态、IOL位置等检查,随访6个月至2年.结果 术后前房内无一例玻璃体残留.术前平均眼压(13.75±1.43) mm Hg,术后第一天平均眼压(22.37±3.12) mm Hg(1mm Hg=0.133 kPa),一月后平均眼压(13.45±1.28) mm Hg,半年后平均眼压(14.23±2.86) mm Hg.中央角膜内皮细胞计数术前为(2827.80± 120.21)个/mm2,术后第一天(2013.21±102.45)个/mm2,一月后为(2125.32±114.56)个/mm2,半年后为(2157.11±132.85)个/mm2.结论 先天性白内障术中后囊膜切除后,前房内注入曲安奈德标识玻璃体可以使之可见,以便彻底清除前房内残余玻璃体,术后眼压无影响,且未观察到明显不良反应.
目的 研究麯安奈德在先天性白內障手術中雙撕囊聯閤前段玻切術中的作用及手術後的影響.方法 在23例31隻眼先天性白內障摘除手術過程中前房內註入麯安奈德標識玻璃體,應用前部玻璃體切割頭將前房內的殘餘玻璃體徹底清除.術前及術後對術眼進行眼壓測量、角膜內皮細胞計數、房閃程度、瞳孔狀態、IOL位置等檢查,隨訪6箇月至2年.結果 術後前房內無一例玻璃體殘留.術前平均眼壓(13.75±1.43) mm Hg,術後第一天平均眼壓(22.37±3.12) mm Hg(1mm Hg=0.133 kPa),一月後平均眼壓(13.45±1.28) mm Hg,半年後平均眼壓(14.23±2.86) mm Hg.中央角膜內皮細胞計數術前為(2827.80± 120.21)箇/mm2,術後第一天(2013.21±102.45)箇/mm2,一月後為(2125.32±114.56)箇/mm2,半年後為(2157.11±132.85)箇/mm2.結論 先天性白內障術中後囊膜切除後,前房內註入麯安奈德標識玻璃體可以使之可見,以便徹底清除前房內殘餘玻璃體,術後眼壓無影響,且未觀察到明顯不良反應.
목적 연구곡안내덕재선천성백내장수술중쌍시낭연합전단파절술중적작용급수술후적영향.방법 재23례31지안선천성백내장적제수술과정중전방내주입곡안내덕표식파리체,응용전부파리체절할두장전방내적잔여파리체철저청제.술전급술후대술안진행안압측량、각막내피세포계수、방섬정도、동공상태、IOL위치등검사,수방6개월지2년.결과 술후전방내무일례파리체잔류.술전평균안압(13.75±1.43) mm Hg,술후제일천평균안압(22.37±3.12) mm Hg(1mm Hg=0.133 kPa),일월후평균안압(13.45±1.28) mm Hg,반년후평균안압(14.23±2.86) mm Hg.중앙각막내피세포계수술전위(2827.80± 120.21)개/mm2,술후제일천(2013.21±102.45)개/mm2,일월후위(2125.32±114.56)개/mm2,반년후위(2157.11±132.85)개/mm2.결론 선천성백내장술중후낭막절제후,전방내주입곡안내덕표식파리체가이사지가견,이편철저청제전방내잔여파리체,술후안압무영향,차미관찰도명현불량반응.
Objective To investigate intraoperative effectiveness and postoperative outcome of intracameral triamcinolone acetonide in pediatric cataract surgery.Methods Thirty-one eyes of 23 congenital cataracts were received an intracameral triamcinolone acetonide suspension intraoperatively,clean the vitreous remaining in anterior chamber,and were followed up 6 months-2 years.Intraocular pressure (IOP) was measured; number of central corneal endothelium cells were calculated and anterior chamber cells; posterior synechiae; pupil position; IOL position were observed.Results There were no cases of vitreous remain in the anterior chamber.The average IOP was (13.75±1.43) mmHg preoperatively,(22.37±3.12) mmHg,(13.45±1.28) mmHg,(14.23±2.86) mmHg at 1 day,l month and 6 months follow-up visit.The average of corneal endothelium cells was (2827.80±120.21)/mm2 preoperatively,(2013.21±102.45)/mm2 postoperatively,(2125.32±114.56)/mm2 at the 1 week follow-up visit,(2157.11±132.85)/mm2 at the 6 months.Conclusions Triamcinolone acetonide improve visualization of the vitreous during pediatric cataract surgery and ensuring thorough and complete anterior vitrectomy.IOP is not affected,and no adverse postoperative results are observed.
