葡萄膜炎并发性白内障术中及术后应用曲安奈德的疗效观察  

Research of anterior chamber and periglomerular injection of triamcinolone acetonide during complicated cataract surgery

作　　者：丰慧[1] 高夕宁[1] 

机构地区：[1]威海市文登中心医院眼科,山东威海264400

出　　处：《中国实用眼科杂志》2011年第11期1167-1169,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨术中前房及术后球旁注射曲安奈德对前葡萄膜炎并发性白内障人工晶状体植入术后前房渗出的预防效果。方法将75例（75只眼）前葡萄膜炎并发性白内障行白内障摘m及人工晶状体植入术的患者随机分为三组：实验一组25例，术中前房内注射曲安奈德3mg，实验二组25例，术后球旁注射曲安奈德20mg，对照组25例未注射曲安奈德，观察并比较三组术后前房渗出情况及眼压指标。结果实验一组术后前房渗出与实验二组比较，差异无统计学意义（P〉0．05），实验一组及二组与对照组比较，差异有统计学意义（P〈0．05），曲安奈德对眼压无明显影响。结论前房注射及球旁曲安奈德均可减轻前葡萄膜炎并发性白内障人工晶体植人术后前房渗出，但前者增加患者的依从性，优于后者。Objective To investigate the effect of triamcinolone acctonide injected in anterior chamber and periglomerular on cataract extraction and intraocular lens implantation for patients with anterioruveitis. Methods Seventy-five cases （75 eyes） were divided into three groups： the first experimental group was injected triamcinolone acetonide 3mg in anterior chamber, the second group 20mg in periglomerular, and the control group was without triamcinolone acetonide after cataract extraction and intraocular lens implantation. Anterior chamber exudation, intraocular pressure of the two groups was observed. Results Anterior chamber exudation in the first experimental group and the second group were the same （P 〉0.05）, the first experimental group and the second group were less than that of the control group （P 〈0.05） and there was no statistical difference in intraocular pressure among the three groups. Conclusions Anterior chamber and periglomerular injection of triamcinoloneacetonide are effective ways to decrease chamber exudation alfter anterior uveitis complicated cataract surgery, but the former can raise the dependence of the patients, so the former is better.

关 键 词：曲安奈德 前房注射 球旁注射 前葡萄膜炎 人工晶状体植入 

分 类 号：R776.1[医药卫生—眼科]