摘要
目的:分析白内障超声乳化术中出现高眼压的处理方法及发病原因。方法:回顾分析白内障超声乳化手术患者408例557眼,共收集术中出现高眼压患者3例3眼。术中快速静脉滴注200g/L甘露醇250mL,其中2例2眼高血压患者分别给予降血压对症处理。观察术后第1d,1wk术眼矫正视力、眼压、角膜水肿情况。结果:囊袋阻滞综合征患者1例1眼及灌注液迷流综合征患者2例2眼用药后眼压下降,前房形成,均顺利完成超声乳化并人工晶状体植入术。3例患者术后视力均有提高;眼压均在正常范围;角膜水肿术后第1d为2级,术后1wk为0级。结论:静脉给予高渗剂是白内障超声乳化术中出现高眼压、前房形成困难的有效治疗措施。
AIM：To analyze the etiology and the treatment of sudden high intraocular pressure （IOP） during phacoemulsification.METHODS：Three of 408 cases （557 eyes） with cataract suffered high IOP during surgery were treated by intravenous drip of 200g/L mannitol. Two cases（2 eyes） with hypertension lowered the blood pressure. The corrected visual acuity, IOP and corneal edema of postoperative 1day, 1 week were recorded.RESULTS：The IOP of 1 case （1 eye） with capsular block syndrome and 2 cases （2 eyes） with infusion misdirection syndrome decreased after treated by medicines. All the 3 cases successfully completed the phacoemulsification surgery and intraocular lens implantation. 3 cases had better postoperative corrected visual acuity and normal IOP. The classification of corneal edema was level 2 at postoperative day 1 and level 0 at postoperative 1 week.CONCLUSION：Intravenous drip of hyperosmotic agent is an effective treatment to decrease the high IOP during surgery.
出处
《国际眼科杂志》
CAS
2012年第9期1767-1768,共2页
International Eye Science
