玻璃体切除并硅油填充术后继发高眼压的相关因素分析  

Vitrectomy and silicone oil analysis of secondary high IOP causes after the filling operation

作　　者：刘朝[1] 

机构地区：[1]河南省濮阳市油田总医院眼科,河南濮阳457001

出　　处：《中国现代医生》2016年第16期63-65,68,共4页China Modern Doctor

摘　　要：目的探讨玻璃体切除并硅油填充术后继发高眼压的病因。方法将2012年1月。2014年1月于我科进行玻璃体切除并硅油填充术的111例患者的术后眼压进行回顾性分析。结果术后高眼压43例。发生率为38．74％。其中患者的不同一般资料（包括性别、年龄、有无糖尿病史、有无眼外伤史及有无眼内手术史）比较差异无统计学意义（P〉0．05），患者的不同手术情况（有无巩膜环扎或外垫压术、有无晶状体眼、眼轴是否大于24mm、硅油有无乳化）、硅油眼内填充时间比较差异有统计学意义（P〈0．05）；经Logistic多元因素回归分析结果显示，眼轴、硅油眼内填充时间、硅油乳化、晶状体的OR值依次为1．794、3．289、4．398、5．893，随OR值增大代表危险程度越高。结论璃体切除硅油填充术后继发高眼压的诱因是多方面的，与原发病的病情及手术方式等有很大关联。其中巩膜环扎或外垫压、无晶状体眼、眼轴大于24mm、硅油乳化等是造成术后眼高压的重要因素。Objective To investigate the cause of high intraocular pressure after vitrectomy and silicone oil filling. Methods The intraocular pressure of 111 patients who underwent vitrectomy and silicone oil filling in our department from January 2012 to January 2014 were retrospectively analyzed. Results 43 cases of high intraocular pressure after operation, the incidence rate was 38.74%. Patients with general information（including gender, age, history of diabetes, there is no history of trauma to the eye and there is no intraocular operation history） appear secondary high IOP differ- ences had no statistical significance（P〉0.05）, patients with operation （with or without scleral buckling or external pad pressure technique, lens eye, eye axis was greater than 24 mm, silicone oil emulsification, intraocular silicone oil fill- ing time） secondary to high intraocular pressure difference was statistically significant （P〈0.05）. Logistic multivariate regression analysis showed that the OR values were 1.794,3.289,4.398,5.893, respectively, when the eyes were filled with silicone oil, silicone oil and silicone oil. The higher the OR value, the higher the degree of danger. Conclusion Glass body removal of silicone oil filled postoperative secondary intraocular hypertension inducement is in many as- pects of, and primary disease of the clinical condition and surgical methods have great relevance. （scleral buckling or external pad pressure, aphakic eye, eye axis is greater than 24 mm, emulsified silicone oil） is an important factor lead- ing to secondary ocular hypertension.

关 键 词：玻璃体切除术 硅油填充术 高眼压 病因 

分 类 号：R779.6[医药卫生—眼科]