角膜屈光手术中眼压波动对眼后段结构及功能的影响  

Effect of intraocular pressure fluctuations on the structure and function of posterior segment in corneal refractive surgery

作　　者：苏日也·艾合买提 易湘龙[1] 李瑶[1] 张莉言 焦丽 Suriye Aihemaiti;Yi Xianglong;Li Yao;Zhang Liyan;Jiao Li(Department of Ophthalmology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆医科大学第一附属医院眼科,新疆维吾尔自治区乌鲁木齐市830000

出　　处：《国际眼科杂志》2024年第12期1927-1931,共5页International Eye Science

基　　金：新疆维吾尔自治区自然科学基金重点项目(No.2022D01D68)。

摘　　要：角膜屈光手术作为矫正屈光不正的常用方法,已在全球范围内广泛开展,其安全性、有效性和可预测性得到了大量临床和实验研究的验证。有研究表明手术过程中眼压可能会出现不同程度的波动,而术中一过性眼压波动因手术方式、设备、技术及患者个体差异等因素可能会对眼后段结构和功能造成影响。尽管在大多数患者术后的短期随访中并未发现视功能障碍,但术中一过性高眼压是否存在对眼后段结构和功能的长期影响和潜在风险仍不明确。因此,在临床实践中,对角膜屈光术后眼后段并发症的评估至关重要。文章将探讨角膜屈光手术中眼压波动的特点以及对玻璃体、视网膜、视神经等眼后段结构和功能的影响,分析可能的原因及危险因素,探讨其对于当前临床治疗的影响和未来发展趋势,以期为临床实践提供参考。Corneal refractive surgery,a widely adopted method for correcting refractive errors,has demonstrated its safety,efficacy,and predictability in extensive research.Studies indicate varying degrees of intraoperative fluctuations inintraocular pressure,potentially impacting the posterior segment structures and functions due to surgical techniques,equipment,technical proficiency,and patient-specific factors.Although short-term postoperative follow-up in most patients does not reveal visual dysfunction,the long-term effects and potential risks of transient high intraocular pressure during surgery on the posterior segment structures and functions remain unclear.Therefore,the assessment of posterior segment complications following corneal refractive surgery is of paramount importance in clinical practice.This review aims to explore the characteristics of intraocular pressure fluctuations during corneal refractive surgery and their effects on structures and functions of the vitreous,retina,and optic nerve in the posterior segment,analyze possible causes and risk factors,discuss their implications for current clinical treatment,and consider future trends,providing insights for clinical practice.

关 键 词：角膜屈光手术 眼压 眼后段 机制 

分 类 号：R779.63[医药卫生—眼科]