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白内障超声乳化术中急性高眼压浅前房的临床分析 被引量：5

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摘要 目的探讨超声乳化白内障吸出术中突发高眼压浅前房的原因和临床处理。方法从2004年1月至2007年11月施行超声乳化白内障吸出手术中，7例患者术中发生急性高眼压浅前房，术中给予20％甘露醇快速静滴降低眼压，注入黏弹剂重建前房。1例术中行睫状体平坦部穿刺放液及前玻璃体切割恢复前房形成。7例完成超声乳化白内障吸出术。结果5例患者完成超声乳化白内障吸出术和一期人工晶体植入，1例患者改行二期人工晶体植入，1例患者因高度近视未行人工晶状体植人。5例患者视力为0.3-0．5，1例高度近视无晶体眼患者视力0．5，1例患者数指30cm并行二期人工晶状体植入，术后视力0．2。部分病人伴有角膜水肿和切口处虹膜萎缩。全部病人术中切口缝合1～2针。结论超声乳化白内障吸出手术具有良好的密闭性，术中突发的高眼压浅前房与灌注液逆流人玻璃体和瞳孔阻滞有关，且常发生在超声乳化后期和吸除晶状体皮质时，严重影响人工晶状体植入。术中及时降低眼压和重建前房可保证手术完成。对于术中前房难于形成者，可行经睫状体平坦部玻璃体切割重建前房完成手术。
作者 何春燕 郑汉
机构地区 第三军医大学大坪医院眼科 重庆泰恒眼科医院
出处 《中国实用眼科杂志》 CSCD 北大核心 2008年第8期831-833,共3页 Chinese Journal of Practical Ophthalmology
关键词 超声乳化 高眼压 浅前房
分类号 R779.66 [医药卫生—眼科] R775 [医药卫生—眼科]
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参考文献9

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共引文献5

同被引文献19

  • 1赵宪孟.小梁切除术后浅前房原因分析与治疗[J].国际眼科杂志,2006,6(3):686-687. 被引量：25
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引证文献5

二级引证文献16

中国实用眼科杂志
2008年 第8期

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