摘要
目的初步观察玻璃体切除术后对侧眼出现高眼压的临床特点。方法对5例经标准的玻璃体切除术后对侧眼出现急性高眼压者，通过UBM、眼轴测量、眼压测量和屈光检查分析其临床特点。结果5例病因为眼内异物、玻璃体积血、视网膜脱离、特发性黄斑孔。3例术眼玻璃体腔填充惰性气体，2例术眼玻璃体腔填充标准硅油。5例术后均为俯卧位1周以上，4例对侧眼眼压为48—55mmHg（1mmHg=0．133kPa），眼轴偏短，远视，部分患者睫状体脉络膜脱离，考虑为原发性闭角型青光眼急性发作；1例对侧眼眼压25mmHg，睫状体脉络膜脱离，考虑为暂时性眼压升高。结论对于具有闭角型青光眼高危因素的患者，玻璃体切除术后面向下体位较长时间者有诱发对侧眼青光眼发作的危险。
Objective To observe the clinic characteristics of ocular hypertension in the unoperated opposite eye after vitrectomy. Methods The clinical data of 5 cases with ocular hypertension in the unoperated opposite eye ＇after vitrectomy were analyzed retrospectively. Ultrasonic biomicroscopy, axial lengths, intraocular pressure and diopter were observed. Results The causes of 5 patients were intraocular foreign body, vitreous haemorrhage, retinal detachment, and idiopathic macular hole （IMH）. Three patients received 16% C3 Fs intravitreal tamponade and two patients received silicone oil tamponade. All five patients kept the prone position for more than a week after the operation, and then, the intraocular pressure of unoperated opposite eye of four patients was from 48 to 55 mmHg and they had short axial lengths and hypermetropia. Some of these 4 patients had ciliochoroidal detachment which was considered as the acute attack of primary angle-closure glaucoma. The intraocular pressure of the unoperated opposite eye of one patient was 25 mmHg, and this patient also had ciliochoroidal detachment which was considered as temporary increase of intraocular pressure. Conclusion The patient with high risk factors of primary angle-closure glaucoma might have the risk of an acute attack of primary angle-closure glaucoma in the unoperated opposite eye when keeping prone position for long time after vitrectomy.
出处
《中华眼外伤职业眼病杂志》
2016年第4期283-286,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
基金
广东省科技厅社会发展领域科技计划项目（20138022000033）
深圳市科技计划重点项目（20120322206）
关键词
玻璃体切除术
高眼压
未手术眼
俯卧位
Vitrectomy
Ocular hypertension
Unoperated opposite eye
Position, prone
