玻璃体切除联合硅油充填术后高眼压的临床观察  

Clinical Observation of Ocular Hypertension after Vitrectomy with Silicon Oil Plumbage

作　　者：欧阳科[1] 李燕[2] 

机构地区：[1]泸州医学院附属医院,四川泸州646000 [2]昆明医科大学第一附属医院,云南昆明650032

出　　处：《昆明医科大学学报》2012年第10期39-41,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(30660196)

摘　　要：目的探讨玻璃体切除联合硅油充填术后高眼压的发生因素及治疗对策.方法对玻璃体切除联合硅油充填术后,眼压大于30 mmHg的患者82只眼,进行药物或手术治疗.结果 64只眼经单一或联合多种药物治疗后,术后高眼压得到控制.4只眼经睫状体平坦部放出少许硅油后,眼压得到控制;2只有晶状体硅油进入前房者,经手术治疗清除前房内硅油后,眼压得到控制;6只眼检查视网膜复位好,行硅油取出后眼压得到控制;2只无晶体眼下方虹膜周切孔膜闭者激光重新打孔后眼压得到控制;4只眼行抗青光眼滤过手术,其中1只眼联合晶状体取出.结论高眼压是玻璃体切除联合硅油充填术后的常见并发症,其发生机制与术后睫状体水肿和急性炎症反应有关,也与手术前原发病种类,严重程度及联合手术的种类有关,药物或手术治疗可有效控制玻璃体切除联合硅油充填术后的高眼压.Objective To explore occurrence factor and therapy of ocular hypertension after vitrectomy with silicon oil plumbage.Method A number of 82 eyes with intraolular pressure over 30mmHg were controlled by medicine or operation after vitrectomy with silicon oil plumbage.Results Ocular hypertension of 64 eyes had been controlled by single or associated drug treatment.Ocular hypertension of 2 eyes had been controlled by releasing few silicon oil.Ocular hypertension of 2 crystal eyes had been controlled by cleaning up silicom oil in anterionr chamber.Ocular hypertension of 6 eyes which retina was resetted had been controlled by silicon oil removal.Two aphakia peripheral iridectomy hole closed by laser to punch the intraoclular pressure control.Four eyes underwent anti-glaucoma filtering operation,where in the one eye cataract extraction.Conclusions Elevated intraocular pressure is the common complication after vitrectomy with silicom oil plumbage,its mechanism may be related to postoperative ciliary body edema and acute inflammatory reaction,and also related to primary diseas type,severity and the type of joint operation.The drug or operation can efftively control the ocular hypertension after vitrectomy with silicon oil plumbage.

关 键 词：玻璃体切除 高眼压 临床观察 

分 类 号：R775[医药卫生—眼科]