摘要
目的 通过对视网膜脱离术毕及术后眼压测量 ,探讨视网膜脱离术后眼压的变化及对预后的影响。方法 41例视网膜脱离患者术毕时在手术台及术后 1～ 5天用 Perkins压平眼压计测量眼压 ,每次测量眼压时连续测量两次 ,取平均值。结果 41只眼术毕与术后第 1天及第 2天眼压与健眼比较 ,术眼明显高于健眼。从第 3～5天眼压与健眼比较 ,两眼眼压无显著性差异。术眼术后第 1天因眼压高引起的并发症有 12只眼 (2 9.2 % )。结论 视网膜脱离术毕眼压控制在 2 .8k Pa,有利于视网膜复位 ,术后第 1～ 2天有可能产生一时性的眼压增高 ,由此而产生的并发症很快会消失 ,不影响预后。
Objective Through the measurement of intraocular pressure in the end of the retinal detachment surgery,to explore the influence of the intraocular pressure changes to the prognosis of the retinal detachment surgery.Methods Forty-one cases of the retinal detachment patients were employed.The Perkins tonometer was used to measure the intraocular pressure in the end of the operation and one to five days after the operation.The average results of twice measurements were employed each time.Results Compared with the intraocular pressure of the 41 cases of operated eyes and healthy eyes,the pressures were higher in operated eyes than that of the healthy eyes in the first and second day.There was no significant difference of the pressure in the third to the fifth day.Twelve cases(29.2%) of the patients had some complications due to the high intraocular pressure in the first day of the operation.Conclusions In the end of the operation,it is benefit to the reattachment of retinal detachment if the intraocular pressure were maintained about 2.8 kPa.The temporary high intraocular pressure and related complications one to two days after the operation was disappeared rapidly and not harmful to the prognosis.
出处
《临床眼科杂志》
2001年第4期286-287,共2页
Journal of Clinical Ophthalmology
关键词
视网膜脱离
眼压
预后
Retinal detachment Intraocular pressure Prognosis
