V4c型ICL植入术后高眼压的原因分析  

Analysis of the causes of high intraocular pressure after implantation of V4c implantable contact lens

作　　者：舒宝 雷晓华[1] 姜黎 陈茜[2] Bao Shu;Xiao-Hua Lei;Li Jiang;Qian Chen(Hankou Aier Eye Hospital,Wuhan 430021,Hubei Province,China;Hongshan Aier Eye Hospital,Wuhan 430070,Hubei Province,China)

机构地区：[1]武汉爱尔眼科医院汉口医院,中国湖北省武汉市430021 [2]武汉爱尔眼科医院洪山医院,中国湖北省武汉市430070

出　　处：《国际眼科杂志》2022年第3期434-437,共4页International Eye Science

基　　金：爱尔眼科集团屈光研究所科研基金项目(No.AR2009D2);爱尔眼科医院集团科研基金项目(No.AF2009D4);湖北省卫健委面上项目(No.WJ2021M035);武汉市医学科研项目(No.WX21C03,WX19C12)。

摘　　要：高眼压是V4c型可植入式隐形眼镜(ICL)植入术后最为关注的并发症,其出现时间整体上分为三个时期:术后早期(术后1wk内)、术后中期(术后1~4wk)及术后晚期(术后1~3mo)。术后早期眼压升高主要是由术中黏弹剂残留引起,术后中期主要是激素药物使用引起,术后晚期则可能引起继发性青光眼。正确识别各种眼压升高的机制,制定合理的治疗方案,对于预防青光眼等长期威胁视力的并发症具有重要意义。因此本文就术后眼内压升高出现的时间和机制进行综述。High intraocular pressure is the most concerned complication of the implantation surgery of V4c implantable contact lens(ICL).According to the appearance time of intraocular pressure elevation,it can be divided into three periods:the early period(1wk after surgery),the middle period(1-4wk after surgery)and the late period(1-3mo after surgery).During the early period,the intraocular pressure increase is mainly caused by the residue of the intraoperative viscoelastic.In the middle period,the application of the hormone drugs results the elevation of the intraocular pressure.Furthermore,during the late period,persistent increasing of the intraocular pressure may cause the secondary glaucoma.Identifying the mechanism of different periods of intraocular pressure rise correctly and thus formulating a reasonable treatment plan,is of great significance for the prevention of glaucoma and other long-term vision threatening complications.Therefore,this article reviews the appearance time and mechanism of the intraocular pressure rise after surgery.

关 键 词：可植入式隐形眼镜(ICL) 高眼压 黏弹剂 激素 色素播散 青光眼 

分 类 号：R47[医药卫生—护理学]