CAJ | 학술논문

目的：探讨糖尿病视网膜病变( DRP)行玻璃体视网膜术后高眼压的发生率及相关因素。方法选择行玻璃体视网膜术治疗的DRP患者986例(1326眼)为研究对象。分析术后高眼压的发生率,并且对比分析不同类型、不同分级、术前是否合并黄斑脱离、行硅油/C3F8充填、术中行全/补充视网膜光凝、是否晶状体切除患者高眼压发生率的差异。结果1326眼术后发生高眼压共计368例(27.8%)。增生型DRP患者术后高眼压发生率(34.0%)显著高于非增生型(17.2%)(χ2=30.648,P=0.000)；DRP D级高眼压发生率为34.1%,显著高于 B 级(20.8%)(χ2=16.348,P =0.001)；术前合并黄斑脱离患者高眼压发生率(30.4%)显著高于无黄斑脱离患者(22.7%)(χ2=8.834,P =0.003)；术中充填硅油患者(39.1%)显著高于填充 C3F8患者(24.0%)(χ2=28.088,P=0.000)；术中全视网膜光凝者(32.8%)显著高于补充光凝患者(16.8%)(χ2=21.159,P=0.000)；术中行晶状体切除者(40.5%)显著高于无晶状体切除者(25.9%)(χ2=15.532,P=0.0001)。结论 DRP患者玻璃体视网膜术后高眼压的发生率高,并且与DRP类型、分级、术前合并黄斑脱离、术中填充物、视网膜光凝、晶状体切除等相关。
목적：탐토당뇨병시망막병변( DRP)행파리체시망막술후고안압적발생솔급상관인소。방법선택행파리체시망막술치료적DRP환자986례(1326안)위연구대상。분석술후고안압적발생솔,병차대비분석불동류형、불동분급、술전시부합병황반탈리、행규유/C3F8충전、술중행전/보충시망막광응、시부정상체절제환자고안압발생솔적차이。결과1326안술후발생고안압공계368례(27.8%)。증생형DRP환자술후고안압발생솔(34.0%)현저고우비증생형(17.2%)(χ2=30.648,P=0.000)；DRP D급고안압발생솔위34.1%,현저고우 B 급(20.8%)(χ2=16.348,P =0.001)；술전합병황반탈리환자고안압발생솔(30.4%)현저고우무황반탈리환자(22.7%)(χ2=8.834,P =0.003)；술중충전규유환자(39.1%)현저고우전충 C3F8환자(24.0%)(χ2=28.088,P=0.000)；술중전시망막광응자(32.8%)현저고우보충광응환자(16.8%)(χ2=21.159,P=0.000)；술중행정상체절제자(40.5%)현저고우무정상체절제자(25.9%)(χ2=15.532,P=0.0001)。결론 DRP환자파리체시망막술후고안압적발생솔고,병차여DRP류형、분급、술전합병황반탈리、술중전충물、시망막광응、정상체절제등상관。
Objective To explore the incidence rate and related factors of high intraocular pressure after vitro-retinal surgery for patients with diabetic retinopathy(DRP). Methods The 986 patients(1 326 eyes) with DRP arranged vitro-retinal surgery were studied. The inci-dence rate of intraocular pressure was analyzed between different types,grades,complicated with macular detachment,filled with silicone oil/C3F8,total/supplementary retina photo-coagulation and crystalline lens excision. Results The incidence rate of high intraocular pressure was 27. 8%(368/1 326). The incidence rate of high intraocular pressure of proliferative DRP (34. 0%) was obviously higher than non-pro-liferative DRP (17. 2%)(χ2 =30. 648,P=0. 000),and higher in DRP D grade than B grade(34. 1%,20. 8%)(χ2=8. 834,P=0. 003). The incidence rate of high intraocular pressure of proliferative DRP (34. 0%) was obviously higher in patients complicated with macular de-tachment(30. 4%,22. 7%)(χ2 =8. 834,P=0. 0030). The incidence rate of patients filled with silicone oil/C3F8(39. 1%,24. 0%) (χ2 =28. 088,P=0. 000),total/supplementary retina photo-coagulation(32. 8%,16. 8%) (χ2 =21. 159,P=0. 000),with/without crystal-line lens excision (40. 5%,25. 9%)(χ2=15. 532,P=0. 0001)was different obviously. Conclusion There is a high incidence rate and re-lated factors of high intraocular pressure after vitro-retinal surgery for patients with diabetic retinopathy,and it is related to different DRP types,grades,complicated with macular detachment,filled with silicone oil/C3F8,total/supplementary retina photo-coagulation,crystalline lens excision.