硅油注入后高眼压的治疗策略  

Therapy for elevated lntraocular pressure after silicone oH tamponade

作　　者：张歆 梁四妥 杨艳 赵华 徐深 

机构地区：[1]沧州市眼科医院,河北沧州061000

出　　处：《中华眼外伤职业眼病杂志》2012年第10期772-774,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的回顾性分析轻重硅油注入术后1个月高眼压的发生及其治疗策略。方法玻切＋轻／重硅油注入术后1个月发生高眼压共46例（46眼）。对两种硅油注入术后1个月高眼压的发生率进行分析对比，且对高眼压的处理方式进行对比。结果用r检验进行分析。结果轻硅油注入术后取油的时机一般在3个月（68．8％）左右，取出后高眼压可以降至正常范围；重硅油在2个月左右取油（64．3％），取出后高眼压可以降至正常范围。二者没有统计学差异。但重硅油注入术后因高眼压行抗青光眼手术的比例较轻硅油者高，差异有统计学意义。结论轻重硅油注入术后1个月高眼压的发生率没有统计学差异，但重硅油引起的高眼压最终行抗青光眼手术的比例较轻硅油者高。Objective To analyze intraocular pressure （IOP） after silicone oil tamponade for one month. Methods This is a retrospective study. There were 46 cases （46 eyes） from 2004 to 2011 regis- tered in our hospital who accepted vitrectomy and silicone oil tamponade, after one month later , who had ele-vated IOP. We compared the rate of elevated IOP between two types of silicon oil tamponade for one month, as well as the treatment for elevated IOP. X2 test was used to analyze the results. Result The time for light silicon oil removal was three months （ the rate is 68.8% ） after the operation, and after the second surgery the lOP could be normal. And the time for heavy silicon oil removal was two months （the rate is 64.3% ） , then the lOP could be normal. The two results had no statistical differences. But the rate of glaucoma surgery after heavy silicone oil tamponade was higher than that of light silicone oil tamponade. And this result had statistical difference. Conclusion The rate of elevated IOP after light or heavy silicone oil tamponade after one month was the same. The rate of glaucoma surgery after heavy silicone oil tamponade was higher than that of light silicone oil tamponade.

关 键 词：轻 重硅油注入术 玻璃体切除术 高眼压 

分 类 号：R779.6[医药卫生—眼科]