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1、玻璃体视网膜手术后早期眼压变化的规律性论文刘娅利胡玉章陈晓明【摘要】目的：了解玻璃体视网膜手术后早期眼压变化的特点和规律性。方法：玻璃体视网膜手术患者100例,其中单纯巩膜扣带术23例，单纯玻璃体切割35例，玻璃体切割+硅油填充18例和玻璃体切割+C3F8气体填充24例，采用Goldmann压平眼压计测量术前和术后7d每天眼压。观察和分析各组手术后眼压的变化，如眼压升高25mmHg，则局部或全身应用降眼压药物治疗。结果：首次眼压升高发生于术后24h内占86.5%，术后2d占8.1%，术后3d占5.4%。单纯巩膜扣带术、单纯玻璃体切割
2、术后24h内眼压最高.freelmHg和20.43±7.79mmHg，高眼压发生率分别为5/23(21.7%)，6/35(17.1%)。硅油填充组在术后1d，气体填充组在术后2d眼压最高，平均眼压分别为25.17±8.69mmHg和29.21±10.30mmHg，两组高眼压发生率分别为10/18（55.6%），16/24（66.7%）。结论：玻璃体视网膜手术后眼压升高多发生在早期，硅油或气体填充术后高眼压发生率较高，眼压升高幅度较大。【关键词】玻璃体视网膜手术眼压C3F8;硅油Regularityofvariabilityofint
3、raocularpressureatearlierstageaftervitro-retinalsurgeryAbstractAIM:Todeterminethecharacteristicandregularityofvariabilityofintraocularpressure(IOP)duringearlierperiodfromthebaselineaftervitro-retinalsurgery.METHODS:Aprospectivestudyedin100consecutivepatientsundergoings
4、cleralbuckling(23cases),simpleparsplanavitrectomy(35cases),binedvitrectomyandsiliconeoilinjection(18cases),binedvitrectomyandC3F8injection(24cases).IOPeasuredbeforesurgery,andthenonday1,2,3,4,5,6and7aftersurgeryannapplanationtonometer.IfIOP25mmHg,theanti-glauamedicatio
5、ninistratedbylocalorsystematictherapy.RESULTS:TheIOPpleparsplanavitrectomy,thehighestmeanpostoperativeIOPmHgand20.43±7.79mmHgonday1,respectively.TheincidenceofhighIOPeanpostoperativeIOPmHgatday1afterundergoingsiliconeoilinjectionand29.21±10.30mmHgonday2afterC3F8injecti
6、on.TheincidenceofhighIOPe,especiallyin24hoursaftervitro-retinalsurgery.ThereptomofthepatientscannotbearulertojudgeIOPelevation.ItisnecessarytomeasureandcontrolIOPearlyaftervitro-retinalsurgery.·KEY,CampenTJ,SundarG,MuhichA.Intraocularpressureelevationaftersimpleparspla
7、navitrectomy.Ophthalmology,1997;104:781-7862SabatesNR,TolentinoFI,ArroyoM,FreemanHM.Theplicationsofperfluoropropanegasuseinplexretinaldetachment.Retina,1996;16:7-123HonavarSG,GoyalM,MajjiAB,SenPK,NaduvilathT,DandonaL.Glauaafterparsplanavitrectomyandsiliconeoilinjection
8、forplicatedretinaldetachments.Ophthalmology,1999;106:169-1764吴素虹,明月,陈绮华,黄思建,黄雯.玻璃体视网膜术后患者眼压的早期监测.中华护理杂志,2001;36:586-5
