眼科手术继发脉络膜脱离的原因  

Causes of choroidal detachment secondary to ophthalmic surgery

作　　者：徐贺 董如娇[1] 李冬育 Xu He;Dong Rujiao;Li Dongyu(Tangshan Institute of Ophthalmology,Tangshan Ophthalmological Hospital,Eye Hospital Affiliated to North China University of Technology,Tangshan Hebei 063000,China)

机构地区：[1]唐山市眼科医院,唐山市眼科研究所,华北理工大学附属眼科医院,河北唐山063000

出　　处：《国际眼科纵览》2024年第6期460-463,共4页International Review of Ophthalmology

摘　　要：脉络膜脱离的发生主要与眼压降低、脉络膜循环障碍和脉络膜炎症相关。青光眼手术继发脉络膜脱离的原因包括术前降眼压药物的使用、术后低眼压、抗代谢药物的使用、全身因素等。玻璃体切除手术继发脉络膜脱离的原因包括手术操作问题、术中玻璃体腔填充物性质、眼底激光应用、切口渗漏等。巩膜环扎术继发脉络膜脱离的原因包括高度近视、环扎加压过紧与位置偏后。玻璃体注药术也有继发脉络膜脱离的个案。应加强眼科医生对这一并发症的认识,尽可能避免其发生。The occurrence of choroidal detachment is mainly related to decreased intraocular pressure,choroidal circulation disorders,and choroidal inflammation.The reasons for secondary choroidal detachment after glaucoma surgery include the use of preoperative antiglaucoma drugs,postoperative low intraocular pressure,the use of anti-metabolic drugs,systemic factors,etc.The reasons for secondary choroidal detachment after vitrectomy surgery include surgical operation issues,properties of intraoperative vitreous cavity filling,application of fundus laser,incision leakage,etc.The reasons for secondary choroidal detachment after scleral buckling surgery include high myopia,tight pressure during buckling,and posterior positioning.There have also been cases of secondary choroidal detachment during intravitreal injection.This review aims to enhance the understanding of choroidal detachment among ophthalmologists,thereby facilitating preventive measures to mitigate its occurrence.

关 键 词：脉络膜脱离 抗青光眼手术 玻璃体切除术 

分 类 号：R779.6[医药卫生—眼科]