摘要
目的探讨Centurion超声乳化玻璃体切割系统处理青光眼白内障联合术中房水迷流的安全性和有效性。方法回顾性分析7例12眼青光眼白内障联合术中出现房水迷流的患者资料,术中应用Centurion的前节玻璃体切割程序应对房水迷流,观察手术前后患者眼压、前房深度、角膜内皮细胞计数、滤过泡及术中、术后并发症发生情况。结果患者术中出现不同程度房水迷流,进行前节玻璃体切割后前房深度恢复,均顺利完成超声乳化;术后前房均形成;术后1周,1眼出现脉络膜脱离前房浅Ⅰ度,予以激素治疗及加压包扎,1周后前房恢复正常,所有患者未再有浅前房情况出现。治疗前患者眼压为(39.75±13.19)mmHg(1 kPa=7.5 mmHg),术后1个月眼压为(13.23±2.68)mmHg、术后3个月眼压为(14.19±1.79)mmHg,随访期间不需要辅助抗青光眼滴眼液治疗。术后1个月、3个月角膜内皮细胞计数与术前相比,差异均有统计学意义(均为P<0.05)。随访期间未见视网膜脱离、玻璃体积血、滤过泡无功能等并发症出现。结论Centurion超声乳化玻璃体切割系统作为青光眼白内障联合术中房水迷流的快速有效应对手段,可降低浅前房操作下角膜内皮损伤的风险,规避了因房水迷流引起的术中、术后浅前房并发症,节省了手术时间和治疗费用,使得该手术更加安全、经济和有效。
Objective To evaluate the safety and efficacy of Centurion Vision System for treatment of fluid misdirection syndrome during patients receiving combined surgery of glucose and cataract.Methods Retrospective analysis was conducted on clinical data of 12 eyes(7 patients)with fluid misdirection syndrome during combined surgery of glucose and cataract.Centurion anterior segment vitrectomy system was used for the treatment of fluid misdirection syndrome during surgery.Ocular variables such as intraocular pressure,anterior chamber depth,corneal endothelial cell(CEC)counts and numbers of filtering blebs before and after surgery,complications during and after surgery were observed.Results The patients had different degrees of fluid misdirection syndrome during surgery,anterior chamber depth restored after anterior segment vitrectomy,and the phacoemulsification was successfully completed.Anterior chamber recovered in all patients after surgery.There was an eye with shallow anterior chamber at degree I caused by choroid detachment 1 week after surgery,and had normal anterior chamber 1 week after hormone therapy and pressure dressing.Then no patient had observed with shallow anterior chamber.IOP was(39.75±13.19)mmHg(1 kPa=7.5 mmHg)before treatment,(13.23±2.68)mmHg 1 month after treatment,and(14.19±1.79)mmHg 3 months after treatment.During follow-up,there was no need of adjuvant therapy with any anti-glucose eye drops.There were statistical difference in CEC counts 1 month and 3 months after surgery comparing with that before surgery(all P<0.05).No complications,such as retinal detachment,vitreous hemorrhage,non-functional filter bleb were observed 3 months after surgery.Conclusion Centurion Vision System,as an effective means for fluid misdirection syndrome during surgery,can reduce the risk of corneal endothelial injury caused by operation of shallow anterior chamber,avoid complications caused by fluid misdirection syndrome during and after surgery,save the operation time and costs and make the operation safer more econ
作者
张建辉
林力平
林青霞
ZHANG Jianhui;LIN Liping;LIN Qingxia(Fuzhou Eye Hospital,Fuzhou 350007,Fujian Province,China)
出处
《眼科新进展》
CAS
北大核心
2020年第1期79-82,共4页
Recent Advances in Ophthalmology
