前房放液治疗白内障超声乳化吸出术后早期高眼压  

Application of releasing aqueous humor of anterior chamber in treating early elevated intraocular pressure after phacoemulsification

作　　者：李勇[1] 肖耀廷[1] 周永祚[1] 

机构地区：[1]上海市长宁区中心医院眼科,200336

出　　处：《眼科新进展》2006年第7期538-539,共2页Recent Advances in Ophthalmology

摘　　要：目的探讨前房放液治疗白内障超声乳化吸出及人工晶状体植入术后早期高眼压合并角膜上皮水肿的可行性。方法白内障超声乳化吸出及人工晶状体植入术1572眼中31眼术后早期高眼压合并角膜上皮水肿,平均眼压46mmHg(1kPa=7.5mmHg),前房放液在裂隙灯显微镜下进行,镊子轻压上方切口后缘,缓慢放出少量房水,即可见角膜上皮水肿明显减轻或消失。结果29眼1次放液后眼压未再升高,角膜上皮水肿消失,其余2眼为后囊膜破裂患者,1眼术后第1d、2d2次放液后眼压恢复正常,1眼术后第1d、2d2次放液联合降眼压药物治疗,于术后5d眼压恢复正常。结论前房放液是治疗白内障术后早期高眼压合并角膜上皮水肿的理想方法。Objective To study the feasibility of releasing aqueous humor in treating early elevated intraocnlar pressure and edema of corneal epithelium after phacoemnlsifieation and intraocnlar lens implantation. Methods Total 1 572 eyes underwent cataract phacoemulsification were studied, in which 31 eyes developed elevated IOP with 46 mmHg （1kPa = 7. 5 mmHg） on average at early post operative stage. Releasing aqueous humor was performed under slitlamp microscope. Edema of corneal epithelium disappeared or relieved immediately. Results Twenty-nine eyes obtained maintained normal IOP with normal corneal transparency by releasing aqueous humor only. once, and the other 2 eyes suffered posterior capsular tear, in which 1 eye obtained normal IOP by releasing aqueous humor twice on the first and second day after operation respectively, and the other eye recovered on the fifth day after operatlon by the same procedure combined with medical therapy. Conclusion Releasing aqueous humor is an ideal method in treating elevated IOP at early postoperative stage after cataract phacoemnlsification. [ Rec Adv Ophthalmol 2006; 26 （7） ： 538-539 ]

关 键 词：白内障 超声乳化 眼压 

分 类 号：R779.66[医药卫生—眼科]