两种外路手术治疗孔源性视网膜脱离对眼球结构和眼压影响的观察

发布时间：2018-02-25 01:36

本文关键词： 孔源性视网膜脱离外路手术眼压手术后并发症　出处：《眼科》2017年01期 　论文类型：期刊论文

【摘要】：目的观察巩膜外硅胶海绵垫压术和巩膜外环扎联合硅胶垫压术后眼球结构的改变及对眼压的影响。设计回顾性病例系列。研究对象孔源性视网膜脱离住院手术治疗患者64例64眼,其中接受巩膜外单纯硅胶海绵垫压术25眼(海绵组),巩膜外环扎联合硅胶垫压术39眼(联合组)。方法手术前,术后1周、1个月及3个月应用A型超声仪、超声生物显微镜(UBM)对眼球生物参数检测,非接触眼压计检测眼压。主要指标眼压、角膜厚度、角膜曲率、前房深度、晶状体厚度、睫状体厚度、房角开放距离和小梁虹膜夹角。结果术后3个月时64眼全部视网膜解剖复位。眼压、角膜厚度、角膜水平曲率、角膜垂直曲率、晶状体厚度、睫状体厚度,术后1周与术前相比显著增加(P均0.05)。海绵组术后1个月和3个月眼压与术前相比无显著性差异,而联合组术后3个月眼压(15.41±2.58)mmHg与术前(13.66±3.16)mmHg相比有显著性差异(P=0.009)。海绵组和联合组角膜垂直曲率术后1周分别为(45.03±1.08)D、(44.47±0.90)D(P=0.027)。结论巩膜外硅胶海绵垫压术和巩膜外环扎联合硅胶垫压术对角膜、前房及房角等眼球结构的早期影响较明显;巩膜外环扎联合硅胶垫压术对眼压影响持续时间长,应给予关注和干预。
[Abstract]:Objective to observe the changes of ocular structure and the effect on intraocular pressure after scleral silicone sponge pad compression and scleral external ligation combined with silicone pad pressure. Design of retrospective series of cases. 64 patients (64 eyes), Among them, 25 eyes were treated with simple silicone sponge pad pressing (sponge group), 39 eyes were treated with external scleral ring ligation and silicone pad pressing (combined group). Methods A type A ultrasound instrument was used before operation, 1 week, 1 month and 3 months after operation. Ultrasound biomicroscopy (UBM) for the detection of ocular biological parameters, non-contact intraocular pressure (NIOP) for intraocular pressure. Main outcome measures: intraocular pressure, corneal thickness, corneal curvature, anterior chamber depth, lens thickness, ciliary body thickness, Results at 3 months after operation, all 64 eyes had retinal reattachment, intraocular pressure, corneal thickness, corneal horizontal curvature, corneal vertical curvature, lens thickness, ciliary body thickness. There was no significant difference in IOP between the sponge group and the preoperative group at 1 and 3 months after operation, and there was no significant difference between the sponge group and the preoperative group. The IOP of the combined group was 15.41 卤2.58 mm Hg and 13.66 卤3.16 mm Hg respectively 3 months after operation. The corneal vertical curvature in the sponge group and the combined group was 45.03 卤1.08D, 44.47 卤0.90DP0.0277.Conclusion the cornea of the combined group were treated by external scleral silicone sponge pad compression and scleral ring ligation combined with silicone pad compression. The early influence of anterior chamber and angle of eyeball was obvious, and the effect of scleral ligation combined with silicone pad pressure on intraocular pressure lasted for a long time, so attention and intervention should be paid to it.
【作者单位】：哈尔滨医科大学附属第二医院眼科;
【分类号】：R779.6

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