前房内注射地塞米松减少糖尿病小瞳孔超声乳化术后瞳孔后粘连  

Study on anterior chamber injection of dexamethasone reduce pupillary posterior synechiae after phacoemulsification in diabetic patients with small pupil

作　　者：邓志峰 

机构地区：[1]菏泽市中医医院,山东省274000

出　　处：《中国实用眼科杂志》2016年第7期759-762,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的评估前房内注射地塞米松对糖尿病患者小瞳孔超声乳化术后瞳孔后粘连的作用。方法回顾性分析2型糖尿病患者小瞳孔超声乳化术65只眼，根据白内障超声乳化术毕时是否前房内注射地塞米松，将其分为注射地塞米松组（34只眼）和未注射地塞米松组（31只眼）。术后随访3个月，比较两组瞳孔后粘连发生率。结果注射地塞米松组未见瞳孔后粘连；未注射地塞米松组5只眼出现瞳孔后粘连，其中3只眼发生继发性青光眼。对比组之间差异有统计学意义（P〈0．05）。结论前房内注射地塞米松可以减少糖尿病患者小瞳孔超声乳化术后瞳孔后粘连发生率。Objective To evaluate the effectiveness of anterior chamber injection of dexamethasone on pupillary posterior synechiae after phacoemulsification in diabetic patients with small pupil. Methods Patients with type 2 diabetes were treated with phacoemulsification with a small pupil of 65 eyes. At the end of phacoemulsification, the patients （34 eyes） were injected with dexamethasone （0.1ml） in the anterior chamber, and the control group （31 eyes） was not injected with dexamethasone. The incidence of pupillary posterior synechiae was compared between two groups on postoperative 3 months. Results The injection of dexamethasone group had pupillary posterior synechiae; while 5 eyes in the non injection dexamethasone group were found pupillary posterior synechiae, 3 eyes of which occurred secondary glaucoma. There was a statistically significant difference （P 〈 0.05）. Conclusions The incidence of pupillary posterior synechiae may be reduced by giving anterior chamber injection of dexamethasone in diabetic patients with small pupil.

关 键 词：地塞米松 糖尿病 小瞳孔 超声乳化术 

分 类 号：R779.66[医药卫生—眼科]