中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
27期
116-119
,共4页
有晶体眼人工晶体植入%高度近视%高眼压
有晶體眼人工晶體植入%高度近視%高眼壓
유정체안인공정체식입%고도근시%고안압
Implantable collamer lens implantation%High myopia%High intraocular pressure
目的：总结有晶体眼后房型人工晶体又称植入型接触镜(ICL)植入术后高眼压的发生原因,探讨其防治方法。方法收集2011年1月~2014年5月在西安市第四医院住院的高度近视患者54例(108眼),均行有晶体眼人工晶体植入术。术后随访3个月,随访项目包括裸眼视力、最佳矫正视力、眼压、裂隙灯检查、眼底检查、人工晶体的拱高。结果术后1 d至术后3个月所有患者裸眼视力均达到或超过术前最佳矫正视力。有13眼术后第1天发生高眼压,眼压25~38.8 mmHg,给予局部、全身降眼压药物或前房穿刺放房水等治疗后,10眼在术后第3天眼压恢复正常水平,2眼在术后第7天停用糖皮质激素滴眼液后眼压逐渐下降。其中有1例患者双眼术后药物治疗1个月,眼压仍控制不良,行人工晶体更换手术。术后3个月随访结束时,所有患者眼压均正常。术后1个月超声生物显微镜测量人工晶体拱高0.5~1.04 mm,人工晶体均未与自身晶状体接触,术后3个月随访自身晶状体无混浊表现。结论有晶体眼人工晶体植入术后高眼压有多种原因,根据病因给予相应的治疗,患者眼压均可恢复正常。
目的：總結有晶體眼後房型人工晶體又稱植入型接觸鏡(ICL)植入術後高眼壓的髮生原因,探討其防治方法。方法收集2011年1月~2014年5月在西安市第四醫院住院的高度近視患者54例(108眼),均行有晶體眼人工晶體植入術。術後隨訪3箇月,隨訪項目包括裸眼視力、最佳矯正視力、眼壓、裂隙燈檢查、眼底檢查、人工晶體的拱高。結果術後1 d至術後3箇月所有患者裸眼視力均達到或超過術前最佳矯正視力。有13眼術後第1天髮生高眼壓,眼壓25~38.8 mmHg,給予跼部、全身降眼壓藥物或前房穿刺放房水等治療後,10眼在術後第3天眼壓恢複正常水平,2眼在術後第7天停用糖皮質激素滴眼液後眼壓逐漸下降。其中有1例患者雙眼術後藥物治療1箇月,眼壓仍控製不良,行人工晶體更換手術。術後3箇月隨訪結束時,所有患者眼壓均正常。術後1箇月超聲生物顯微鏡測量人工晶體拱高0.5~1.04 mm,人工晶體均未與自身晶狀體接觸,術後3箇月隨訪自身晶狀體無混濁錶現。結論有晶體眼人工晶體植入術後高眼壓有多種原因,根據病因給予相應的治療,患者眼壓均可恢複正常。
목적：총결유정체안후방형인공정체우칭식입형접촉경(ICL)식입술후고안압적발생원인,탐토기방치방법。방법수집2011년1월~2014년5월재서안시제사의원주원적고도근시환자54례(108안),균행유정체안인공정체식입술。술후수방3개월,수방항목포괄라안시력、최가교정시력、안압、렬극등검사、안저검사、인공정체적공고。결과술후1 d지술후3개월소유환자라안시력균체도혹초과술전최가교정시력。유13안술후제1천발생고안압,안압25~38.8 mmHg,급여국부、전신강안압약물혹전방천자방방수등치료후,10안재술후제3천안압회복정상수평,2안재술후제7천정용당피질격소적안액후안압축점하강。기중유1례환자쌍안술후약물치료1개월,안압잉공제불량,행인공정체경환수술。술후3개월수방결속시,소유환자안압균정상。술후1개월초성생물현미경측량인공정체공고0.5~1.04 mm,인공정체균미여자신정상체접촉,술후3개월수방자신정상체무혼탁표현。결론유정체안인공정체식입술후고안압유다충원인,근거병인급여상응적치료,환자안압균가회복정상。
Objective To summarize the reasons of high intraocular pressure (IOP) after implantable collamer lens im-plantation, discuss the treatment and prevention method. Methods 108 eyes of 54 patients with high myopia in the Fourth Hospital of Xi'an from January 2011 to May 2014 were selected. All patients were given implantable collamer lens implantation, followed up for 3 months. The naked eye eyesight, best corrected visual acuity, intraocular pressure, slit-lamp examination, fundus examination, high arch of artificial crystal were observed. Results 1 day to 3 months af-ter surgery, all patients' naked eye eyesight achieved or exceeded the preoperative best corrected vision. 1 day after surgery, 13 eyes had intraocular hypertension, IOP ranged from 25-38.8 mmHg. After treatment of local and systemic IOP-lowering medication or anterior chamber puncture, IOP of 10 eyes had returned to normal levels 3 days after surgery, IOP of 2 eyes gradually decreased after stopping using glucocorticoid eye drops at the 7th day after surgery. IOP of 1 patient had bad-controlled 1 month after treatment, given intraocular lens replacement surgery. IOP of all pa-tients returned to normal after 3 months follow-up. 1 month after surgery, ultrasonic biological microscope measure showed that high arch of artificial crystal ranged from 0.5-1.04 mm, artificial lens had not been in contact with the lens itself. After 3 months follow-up, there was no lens opacity. Conclusion There are several reasons for high IOP after implantable collamer lens implantation. According to the etiology give corresponding treatment, intraocular pressure of patients will be back to normal.
