摘要
目的:观察改良23G经结膜免缝合微切口玻璃体切除手术(TSV)后早期(7d内)高眼压发生率及其影响因素。方法:回顾性病例分析研究。选取2013-03/11在我院行改良23G免缝合微切口玻璃体切除手术的98例98眼纳入研究。采用非接触式眼压计测量眼压在25mmHg以上的术眼临床资料进行分析。连续监测手术后7d的眼压情况,分析患者年龄、性别、眼别、病程及手术前原发疾病、眼内手术史、手术方式、不同眼内填充物、晶状体状态及手术时间对手术后高眼压发生的影响。结果:23G玻璃体切除术后7d内共33眼出现高眼压,发生率是33.7%(33/98),其中,发生在术后第1d者8眼,占24.2%(8/33),术后3d者25眼,占75.8%(25/33)。男、女高眼压的发生率分别为32.8%(20/61)和35.1%(13/37),右、左眼高眼压发生率分别是36.8%(21/57)和29.3%(12/41)。高眼压眼与无高眼压眼年龄(Z=-0.22),性别(χ2=0.057)、手术眼别(χ2=0.612),病程(Z=-0.079)及手术时间(Z=-0.553)比较,差异均无统计学意义(P>0.05)。硅油眼和气体填充眼比较(χ2=1.04)、外伤眼和非外伤眼比较(χ2=0.044),视网膜脱离眼和非视网膜脱离眼比较(χ2=2.282),差异亦无统计学意义(P>0.05)。多次手术眼比首次手术眼高眼压发生率高(χ2=5.211),联合手术较单纯玻璃体手术高(χ2=4.57),无晶状体眼较有晶状体眼高(χ2=4.224),差异有统计学意义(P<0.05)。结论:23G免缝合微切口玻璃体切除术后高眼压主要发生在术后前3d。眼内手术史,联合手术,无晶状体眼是手术后高眼压的危险因素。
AIM： To observe the incidence of high intraocular pressure（ IOP） and its risk factors in the early stage（ within 7d） after 23- gauge sutureless microincisional vitrectomy.METHODS： Retrospective case series study. Totally 98patients（ 98 eyes） who had undergone 23- gauge sutureless microincisional vitrectomy were enrolled. IOP was measured by non-contact tonometry. High IOP was defined as an IOP 25 mmHg at any time within 7d after surgery. The influence of age,sex,side of operation,course of disease, primary disease pre- operation,reoperation,surgical options,type of tamponade,status of lens,surgical time on postoperative high IOP were analyzed.RESULTS： High IOP was found in 33 eyes（ 33.7%） within7 d after surgery. High IOP was found in 8 eyes on postoperative 1d,the incidence was 24.2%（ 8/33）,and 25 eyes was found on postoperative 3d,the incidence was75.8%（ 25/33）. The incidence of high IOP of male and female were 32. 8%（ 20/61） and 35. 1%（ 13/37）respectively. The incidence of high IOP of right and left eye were 36.8%（ 21/57） and 29.3%（ 12/41） respectively.There were no significant differences comparing age（ Z =-0.22）,sex（2= 0. 057）,side of operation（2= 0. 612）,course of disease（ Z=-0.079） and surgical time（ Z =-0.553）between patients with high IOP and those without it（ P〈0. 05）. Similarly, no statistical significance was found between eyes with gas tamponade and silicone oil tamponade（2= 1.04）,traumatic eyes and non traumatic eyes（2= 0.044）,and retinal detachment eyes and withoutretinal detachment eyes（2= 2.282,P〈0.05）. The incidence of high IOP in eyes with several operations was higher than that in eyes with the first operation（2= 5. 211,P〈0.05）, in eyes with combined operations eyes was significantly higher than that in eyes with pure vitrectomy（2= 4. 57,P〈0. 05）,and in eyes with aphakic eye was higher than that in eyes with phakic eyes（2= 4. 224,P〈0.05）.CONCLUSION： High IOP occurs commonly in 3d after
出处
《国际眼科杂志》
CAS
2014年第9期1649-1651,共3页
International Eye Science
关键词
改良23G免缝合微创玻璃体切除术
高眼压
危险因素
improved 23-gauge sutureless microincisional vitrectomy
high intraocular pressure
risk factors
