玻璃体视网膜手术方式对角膜内皮的影响  

The effect of vitreous and retinal surgery on corneal endothelium

作　　者：王海燕[1,2] 李立新[1,2] 黎晓新[1,2] 

机构地区：[1]北京医科大学人民医院眼科 [2]北京同仁医院眼科

出　　处：《眼科研究》1999年第1期31-33,共3页Chinese Ophthalmic Research

摘　　要：目的探讨玻璃体视网膜手术方式及各种眼内填充物对角膜内皮的影响。方法对１２９例患者（１３６只眼），其中糖尿病患者４８人（５４只眼），行单纯玻璃体切割术、玻璃体切割硅油填充术及玻璃体切割六氟化硫（ＳＦ６）注入术，测定了术前、术后２、４、８周、３月及６月的角膜内皮细胞密度。结果在眼压控制良好的情况下，有晶状体眼行玻璃体视网膜手术的手术方式、眼内填充物的选择及糖尿病对角膜内皮细胞密度均无显著影响。结论在眼压控制良好的情况下。ObjectiveTo observe the effects of different vitreous and retinal surgeries and intraocular tamponades on corneal endothelium.MethodsThe corneal endothelial cell densities of 129 patients (136 eyes)with simple vitrectomy,vitrectomy with tamponades of silicone oil or sulfur hexafluoride(SF 6)were observed at preoperation and postoperative 2,4,8 weeks,3 and 6 months,among them there were 48 diabetic patients (54 eyes).ResultsWhile intraocular pressure (IOP) was controlled,there was no significant changes of preoperative and postoperative corneal endothelial cell densities among different operations,intraocular tamponades,diabetic and non diabetic patients.ConclusionWhile intraocular pressure is controlled,it is safe to perform vitreous and retinal surgery on diabetic and non diabetic patients.

关 键 词：角膜内皮 硅油 六氟化硫 视网膜 眼外科手术 

分 类 号：R774.1[医药卫生—眼科]