玻璃体切除术后高眼压的原因及处理  

The etiology and management of secondary glaucoma after vitrectomy

作　　者：熊宇[1] 夏晓波[1] XIONG Yu XIA Xiao-bo(Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha 410008, China)

机构地区：[1]中南大学湘雅医院眼科中南大学眼科研究所,长沙410008

出　　处：《眼科》2016年第5期357-360,共4页Ophthalmology in China

基　　金：爱尔康(中国)眼科产品有限公司的支持

摘　　要：玻璃体切除术后高眼压的危险因素是多方面的,主要与病情复杂性、眼内填充物有关,因此需要根据危险因素和发病机制针对性控制术后高眼压;另外通过术前筛查高危人群,术中选择合适手术方式,术后密切监测眼压有助于预防和减少术后高眼压的发生。一旦发现高眼压应及时对症治疗,采用抗青光眼药物或手术等控制眼压,从而保护视神经和视功能。The risk factors of high intraocular pressure （IOP） after pars plana vitrectomy（PPV） are various, mainly related to the complexity of disease and intraocular tamponade. So we need to control the high IOP after vitrectomy according to the high risk factors and the pathogenesis. Moreover, screening high-risk population before operation, choosing appropriate surgical procedure, and monitoring IOP after operation will be helpful to reduce the occurrence of high IOP. Once high IOP after vitrectomy happens, symptomatic treatment, anti-glaucoma medication or surgery should be performed as soon as possible in order to protect optic nerve and visual function. （Ophthalmol CHN, 2016, 25： 357-360）

关 键 词：玻璃体切除手术 高眼压 危险因素 治疗 

分 类 号：R779.6[医药卫生—眼科]