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
2015年
1期
10-14
,共5页
曲安奈德%前房注射%白内障,并发性%前葡萄膜炎
麯安奈德%前房註射%白內障,併髮性%前葡萄膜炎
곡안내덕%전방주사%백내장,병발성%전포도막염
Triamcinolone acetonide%Injection,anterior chamber%Cataract,complicated%Uveitis,anterior
目的 前葡萄膜炎并发性白内障术中前房注射曲安耐德的有效性及安全性.方法 前葡萄膜炎并发白内障40例(40只眼)随机分为两组:试验组(20只眼)和对照组(20只眼),所有患眼均行透明角膜切口晶状体超声乳化吸出联合人工晶状体植入术,术毕试验组前房内注射曲安耐德2 mg,对照组不行曲安耐德注入.比较两组术后视力、眼压、角膜及前房反应的情况.结果 术后视力比较,两组差异无统计学意义;术后1、3、7d试验组前房炎症反应明显低于对照组,差异有统计学意义;术后两组眼压及角膜内皮计数均在正常范围,差异无统计学意义.结论 术中前房注射曲安奈德可减轻前葡萄膜炎并发性白内障人工晶状体植入术后前房渗出,是一种安全有效的给药方法,无明显不良反应.
目的 前葡萄膜炎併髮性白內障術中前房註射麯安耐德的有效性及安全性.方法 前葡萄膜炎併髮白內障40例(40隻眼)隨機分為兩組:試驗組(20隻眼)和對照組(20隻眼),所有患眼均行透明角膜切口晶狀體超聲乳化吸齣聯閤人工晶狀體植入術,術畢試驗組前房內註射麯安耐德2 mg,對照組不行麯安耐德註入.比較兩組術後視力、眼壓、角膜及前房反應的情況.結果 術後視力比較,兩組差異無統計學意義;術後1、3、7d試驗組前房炎癥反應明顯低于對照組,差異有統計學意義;術後兩組眼壓及角膜內皮計數均在正常範圍,差異無統計學意義.結論 術中前房註射麯安奈德可減輕前葡萄膜炎併髮性白內障人工晶狀體植入術後前房滲齣,是一種安全有效的給藥方法,無明顯不良反應.
목적 전포도막염병발성백내장술중전방주사곡안내덕적유효성급안전성.방법 전포도막염병발백내장40례(40지안)수궤분위량조:시험조(20지안)화대조조(20지안),소유환안균행투명각막절구정상체초성유화흡출연합인공정상체식입술,술필시험조전방내주사곡안내덕2 mg,대조조불행곡안내덕주입.비교량조술후시력、안압、각막급전방반응적정황.결과 술후시력비교,량조차이무통계학의의;술후1、3、7d시험조전방염증반응명현저우대조조,차이유통계학의의;술후량조안압급각막내피계수균재정상범위,차이무통계학의의.결론 술중전방주사곡안내덕가감경전포도막염병발성백내장인공정상체식입술후전방삼출,시일충안전유효적급약방법,무명현불량반응.
Objective To investigate the effect and the safety of triamcinolone acetonide(TA) injected in anterior chamber for patients who underwent the surgery for complicated cataract due to uveitis.Methods Forty eyes of 40 cases were divided into two groups randomly:the clinical trial group and control group.All patients underwent a clear corneal incision phacoemulsification combined with IOL implantation.TA 2mg was injected into anterior chamber during surgery in clinical trial group.Visual acuity,intraocular pressure (IOP),corneal endothelial density and anterior chamber exudation were examined and compared between two groups after surgery.Results Fibrin formation in trial group was significantly reduced than in control group and the difference was statistically significant.The differences in visual acuity,IOP and corneal endothelial density were not statistically significant between two groups.Conclusion Anterior chamber injection of TA is an effective and safe way to decrease anterior chamber exudation after the surgery for complicated cataract due to anterior uveitis.No adverse event was observed.