国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2015年
2期
367-369
,共3页
熊露%易魁先%邓一鹏%彭晓琍
熊露%易魁先%鄧一鵬%彭曉琍
웅로%역괴선%산일붕%팽효리
前房放液术%高眼压%有晶状体眼后房型人工晶状体植入术%角膜侧切口
前房放液術%高眼壓%有晶狀體眼後房型人工晶狀體植入術%角膜側切口
전방방액술%고안압%유정상체안후방형인공정상체식입술%각막측절구
releasing aqueous humor%high intraocular pressure%implantable collamer lens implantation%lateral incision of cornea
目的：：探讨前房放液法在有晶状体眼后房型人工晶状体植入术( implantable collamer lens,ICL)术后早期眼压升高治疗中的应用。方法：ICL植入术后早期高眼压患者,眼压>25 mmHg时,表面麻醉下,用一次性注射器针尖从角膜侧切口缓慢将房水放出,使眼压降至10~13 mmHg。术后每2 h测量眼压,如眼压再次升高,可反复放房水处理,直至眼压正常。结果：ICL植入术患者167例330眼,术后眼压>25 mmHg者32例62眼,其中部分房水可见黏弹剂。大多数患眼(48眼)通过1次放液治疗成功无复发。经过最多3次侧切口放液,所有患眼眼压均恢复正常。术后随访未见异常。结论：黏弹剂残留是导致ICL植入术后早期眼压升高的主要原因,侧切口前房放液法能有效、及时降低眼压。操作简单、安全、无痛,患者乐于接受,可反复进行。
目的：：探討前房放液法在有晶狀體眼後房型人工晶狀體植入術( implantable collamer lens,ICL)術後早期眼壓升高治療中的應用。方法：ICL植入術後早期高眼壓患者,眼壓>25 mmHg時,錶麵痳醉下,用一次性註射器針尖從角膜側切口緩慢將房水放齣,使眼壓降至10~13 mmHg。術後每2 h測量眼壓,如眼壓再次升高,可反複放房水處理,直至眼壓正常。結果：ICL植入術患者167例330眼,術後眼壓>25 mmHg者32例62眼,其中部分房水可見黏彈劑。大多數患眼(48眼)通過1次放液治療成功無複髮。經過最多3次側切口放液,所有患眼眼壓均恢複正常。術後隨訪未見異常。結論：黏彈劑殘留是導緻ICL植入術後早期眼壓升高的主要原因,側切口前房放液法能有效、及時降低眼壓。操作簡單、安全、無痛,患者樂于接受,可反複進行。
목적：：탐토전방방액법재유정상체안후방형인공정상체식입술( implantable collamer lens,ICL)술후조기안압승고치료중적응용。방법：ICL식입술후조기고안압환자,안압>25 mmHg시,표면마취하,용일차성주사기침첨종각막측절구완만장방수방출,사안압강지10~13 mmHg。술후매2 h측량안압,여안압재차승고,가반복방방수처리,직지안압정상。결과：ICL식입술환자167례330안,술후안압>25 mmHg자32례62안,기중부분방수가견점탄제。대다수환안(48안)통과1차방액치료성공무복발。경과최다3차측절구방액,소유환안안압균회복정상。술후수방미견이상。결론：점탄제잔류시도치ICL식입술후조기안압승고적주요원인,측절구전방방액법능유효、급시강저안압。조작간단、안전、무통,환자악우접수,가반복진행。
To explore the effect of releasing aqueous humor of anterior chamber through lateral incision of cornea in treating early elevated intraocular pressure ( lOP ) after implantation of implantable collamer lens ( lCL) .METHODS: Patients with elevated lOP were analyzed after lCL implantation. When the lOP>25mmHg, aqueous humor was released slowly through lateral incision of cornea, and made the lOP reduce to 10 ~13mmHg. After operation, lOP was measured every 2h. The releasing of aqueous humor was repeated until the lOP was decreased to normal.RESULTS: One hundred sixty - seven patients ( 330 eyes) were implanted lCL, while the lOP of 32 patients (62 eyes) was higher than 25mmHg after lCL implantation. Viscoelastic material was found in aqueous humor of most of high lOP patients, and the lOP of 48 eyes did not increase again through releasing aqueous humor once. The lOP of all these eyes was decreased to normal through releasing aqueous humor in 3 times at most. There were no abnormal in postoperative follow-up.CONCLUSlON:The main reason of early elevated lOP after lCL implantation is the remaining of viscoelastic material of eyes. Releasing aqueous humor through lateral incision of cornea can decrease lOP effectively. lt is a simple, safe, painless and repetition, which the patients are willing to accept.
