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后房型人工晶状体植入术后高眼压的临床观察 被引量:5

The clinical analysis of intraocular pressure elevation after posterior chamber intraocular lens implantation
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摘要 目的 探讨白内障摘出联合后房型人工晶状体植入术后发生高眼压的危险因素、病因及处理措施、方法回顾2363眼白内障摘出联合后房型人工晶状体植入术的临床资料,了解高眼压发生的情况。结果55眼术后发生高眼压,发生率2.33%,其中超声乳化组为1.3%,囊外摘出组为4%。二者差异有高度显著性。术后高眼压的危险因素与术前有眼内手术史、合并高度近视、合并糖尿病有关。结论 及时发现和正确治疗,尤其时高危人群选择正确的手术方式,可减少术后持续性高眼压,保存一定有用视力。 Objective To investigate the risk factors, etiology and management of intraocular pressure( IOP) elevation after posterior chamber intraocular lens ( PC-IOL ) implantation. Methods A retrospective study was performed on 2 363 eyes underwent cataract extraction with PC-IOL implantation. Results 55 of 2 363 eyes occurred postoperative IOP elevation (2.33% ). The incidence of IOP elevation after phacoemulsifieation ( phaco) was 1.3% , while that after extracapsular cataract extraction ( ECCE) was 4% ( P < 0. 05 ). The previous intraocular surgeries, high myopia or diabetes were some risk factors of IOP elevation after PC-IOL, implantation. Conclusions The IOP elevation after PC-IOL. implantation can he controlled In closely clinical observation and follow-up as well as effective managements.
出处 《眼科研究》 CSCD 北大核心 2002年第4期349-350,共2页 Chinese Ophthalmic Research
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  • 1[1]David R,Tessler Z,Yager R,et al. Persistently raised intraocular pressure following extracapsular cataract extraction. Br J Ophthalmol, 1990,74: 272 被引量:1
  • 2[2]Kooner KS, Dulancy DD, Zimmerman TJ. Intraocular pressure following extracapsular cataract extraction and posterior chamber intraocular lens implantation. Ophthalmic Surg, 1988,19:471 被引量:1
  • 3[3]Lundgren B, Holst A, Torngren L, et al. Inflammatory response after conventional extracapsular lens extraction or phacoemulsification in rabbit eyes. Invest Ophthalmol Vis Sci, 1994,35: 918 被引量:1

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