玻璃体切除联合硅油充填术后高眼压的原因分析及治疗  

Causes and Treatment of Vitrectomy with Silicone Oil Tamponade Postoperative Ocular Hypertension

作　　者：郭隽[1] 刘豪杰[1] 付林[1] 

机构地区：[1]大连大学附属中山医院眼科,辽宁大连116001

出　　处：《医学与哲学（B）》2015年第12期41-43,共3页Medicine & Philosophy(B)

摘　　要：探讨玻璃体切除联合硅油充填术后高眼压的原因分析及治疗方法。回顾性分析2013年1月～2015年6月在本院行玻璃体切除联合硅油充填术285例285眼患者术后眼压监测，对出现高眼压的72只眼进行原因分析及治疗。结果显示患者285例285眼中有72例72眼发生高眼压，发生率为25．3％。以术后早期（术后2周内）发生高眼压52例，发生率为72．2％；中期（术后2周～8周）发生高眼压6例，发生率为8．3％；后期（术后8周后）发生高眼压14例，发生率为19．5％。玻璃体切除联合硅油充填术后高眼压以早期发生几率最高，引起玻璃体视网膜术后高眼压的原因主要有：眼内填充硅油过量，术后炎症反应，术后糖皮质激素的应用，术后体位及硅油乳化等，经药物和手术治疗可有效控制眼压。To study the vitrectomy combined silicone oil filling the cause analysis and treatment of high intraocular pressure after surgery. From January 2013 to June 2015 285 patients with 285 eyes were retrospectively analyzed in our hospital vitrectomy combined silicone plombage, postoperative intraocular pressure monitoring, 72 eyes had high intraocular pressure analysis and treatment. 285 cases with 285 eyes of 72 patients with 72 eyes high intraocular pressure, so the rate is 25.3%. With early （postoperative within 2 weeks ） the chance of high intraocular pressure for the highest, 72.2% （52/72）; Mid- （2 weeks- 8 weeks） after the chance of high intraocular pressure for 8.3% （6/72） ; Late （postoperative 8 weeks after） the chance of high intraocular pressure for 19.5 % （14/72）. vitrectomy combined silicone oil filling early postoperative high intraocular pressure in the highest risk, the causes of vitreous retinal surgery high intraocular pressure mainly include： intraocular silicone oil filling, excessive postoperative inflammatory reaction, the application of giucocorticoid after surgery, postoperative body position and silicone oil emulsion, such as drugs and surgery therapy can effectively control the intraocular pressure.

关 键 词：玻璃体切除术 硅油填充 高眼压 

分 类 号：R779.6[医药卫生—眼科]