[1]赵佳玮,王相宁,吴强.高度近视伴发孔源性视网膜脱离患者手术治疗后早期眼压升高的临床分析[J].眼科新进展,2020,40(7):667-669.[doi:10.13389/j.cnki.rao.2020.0153]
　ZHAO Jiawei,WANG Xiangning,WU Qiang.Analysis of causes of early high intraocular pressure after surgical treatment of rhegmatogenous retinal detachment with high myopia[J].Recent Advances in Ophthalmology,2020,40(7):667-669.[doi:10.13389/j.cnki.rao.2020.0153]
点击复制

高度近视伴发孔源性视网膜脱离患者手术治疗后早期眼压升高的临床分析/HTML
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
40卷
期数:
2020年7期
页码:
667-669
栏目:
应用研究
出版日期:
2020-07-05

文章信息/Info

Title:
Analysis of causes of early high intraocular pressure after surgical treatment of rhegmatogenous retinal detachment with high myopia
作者:
赵佳玮; 王相宁; 吴强
200433　上海市，海军军医大学附属第一医院（长海医院）眼科（赵佳玮，吴强）；200233　上海市，上海交通大学附属第六人民医院眼科（王相宁）
Author(s):
ZHAO Jiawei1; WANG Xiangning2; WU Qiang2
1.Department of Ophthalmology, the Changhai Hospital of Shanghai, Shanghai 200433, China
2.Department of Ophthalmology, the Sixth People’s Hospital of Shanghai Jiaotong University, Shanghai 200233, China
关键词:
高度近视; 孔源性视网膜脱离; 高眼压
Keywords:
high myopia;  rhegmatogenous retinal detachment;  high intraocular pressure
分类号:
R774
DOI:
10.13389/j.cnki.rao.2020.0153
文献标志码:
A
摘要:
目的　探讨高度近视伴发孔源性视网膜脱离患者手术治疗后早期高眼压的发生率以及特点，并对其相关危险因素进行分析。方法　收集2010年1月至2017年8月因高度近视伴发孔源性视网膜脱离于上海交通大学附属第六人民医院接受手术治疗的患者51例51眼，记录并分析接受手术治疗后早期高眼压的发生率以及其相关危险因素。结果　51例患者接受手术治疗后，术后1周内出现高眼压12例；其中应用巩膜外加压术的13例患者中出现了3例、应用23G玻璃体切割术的38例患者中出现了9例。在巩膜外加压术的患者中，术前存在增生性玻璃体视网膜病变（PVR）与术后发生高眼压有关（P=0.020）；在23G玻璃体切割术的患者中，术前存在PVR、术中激光点数与术后发生高眼压有关（P=0.027、0.040）。在接受23G玻璃体切割术治疗的患者中，16例术中填充C3F8的患者中，术后出现高眼压的发生率为35.7%；22例术中填充硅油的患者中，术后出现高眼压的发生率为13.6%，但两者差异无统计学意义（P=0.088）。结论　高度近视伴发孔源性视网膜脱离患者术后早期高眼压的发生率与术前存在PVR以及术中视网膜激光光凝有关。在23G玻璃体切割术中，填充C3F8相较于填充硅油术后早期高眼压的发生率较高。
Abstract:
Objective　To investigate the incidence and characteristics of high intraocular pressure (IOP) with the patients through surgical treatment of rhegmatogenous retinal detachment (RRD) with high myopia. Methods　All 51 patients (51 eyes) were through surgical treatment of RRD with high myopia in the Sixth People’s Hospital of Shanghai Jiao Tong University from January, 2010 to August, 2017. The incidence of early high IOP and its related risk factors were observed and analyzed. Results　After surgical treatment, 12 patients (23.53%) had high IOP 1 week after operation in 51 patients. Three (23.08%) in 13 patients undergoing scleral buckling surgery had high IOP, and 9 (23.68%) in 38 patients through 23G vitrectomy. Among patients receiving the scleral buckling surgery, patients with proliferative vitreoretinopathy（PVR）were more likely to happen high IOP (P=0.020), while among patients undergoing 23G vitrectomy, patients with PVR and intraoperative laser were more likely to happen high IOP (P=0.027, 0.040). Among 23G vitrectomy group, 16 patients were filled with C3F8, and the percentage of postoperative high intraocular pressure occurred was 35.7%. In 22 patients of silicone oil, the percentage of postoperative high intraocular pressure was 13.6%, but there was no significant difference between them（P=0.088）. Conclusions　The incidence of high IOP is related to the presence of PVR before operation and photocoagulation of retina laser during the operation. During patients receiving 23G vitrectomy, the incidence of early postoperative IOP was higher in patients filled with C3F8 than silicone oil.

参考文献/References:

［1］　程朝晖，胡博杰，刘巨平，李筱荣.23G玻璃体切割手术相关并发症分析［J］.中华眼底病杂志,2012,28（2）：142-144.
CHENG Z H,HU B J,LIU J P,LI X R.Related complications analysis of 23G pars plana vitrectomy［J］.Chin J Ocul Fundus Dis,2012,28（2）：142-144.
［2］　STAMENKOVI C ＇ M,STEFANOVI C ＇ I,SEN C ＇ ANI C ＇ I,JAKI C ＇ V,MAVIJA M,BABOVI C ＇ S.Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment［J］.Vojnosanit Pregl,2014,71(10):920-924.
［3］　KOH K M,KIM H S,CHO H J,LEW Y J,CHOI M J,HAN J I,et al.Surgical outcomes of 23-gauge vitrectomy for the management of lens fragments dropped into the vitreous cavity during cataract surgery［J］.Saudi J Ophthalmol,2014,28(4):253-256.
［4］　FLORES-MORENO I,LUGO F,DUKER J S,RUIZ-MORENO J M.The relationship between axial length and choroidal thickness in eyes with high myopia［J］.Am J Ophthalmol,2013,155(2):314-319.
［5］　LYU Z,LI Y,WU Y,QU Y.Surgical complications of primary rhegmatogenous retinal detachment:a meta-analysis ［J］.PLoS ONE,2015,10(3)：e0116493.
［6］　SONI C,HAINSWORTH D P,ALMONY A.Surgical management of rhegmatogenous retinal detachment:a meta-analysis of randomized controlled trials ［J］.Ophthalmology,2013,120(7):1440-1447.
［7］　沈丽萍，卢红，楼定华，李毓敏.玻璃体切割手术后高眼压的临床分析［J］.中华眼底病杂志，2012,28（2）：106-108.
SHEN L P,LU H,LOU D H,LI Y M.The clinical analysis of intraocular pressure elevation after pars plana vitrectomy ［J］.Chin J Ocul Fundus Dis,2012,28（2）：106-108.
［8］　MA J L,SUN X Y.Related risk factor analysis and treatment of high intraocular pressure after 23-gauge pars plana vitrectomy ［J］.Int Eye Sci,2012,12（11）：2094-2097.
［9］　MUETHER P S,HOERSTER R,KIRCHHOF B,FAUSER S.Course of intraocular pressure after vitreoretinal surgery:is early postoperative intraocular pressure elevation predictable ［J］.Retina,2011,31(8):1545-1552.
［10］　HASEGAWA Y,OKAMOTO F,SUGIURA Y,OKAMOTO Y,HIRAOKA T,OSHIKA T.Intraocular pressure elevation after vitrectomy for various vitreoretinal disorders ［J］.Eur J Ophthalmol,2014,24(2):235-241.
［11］　李杰，刘三梅，李芳董，文韬，钟捷.27G与25G微创玻璃体切割术治疗孔源性视网膜脱离的对比分析［J］.眼科新进展,2018,38（11）：1050-1054.
LI J，LIU S M，LI F D，WEN T，ZHONG J.Retrospective comparison of 27-gauge and 25-gauge microincision vitrectomy surgery for the treatment of primary rhegmatogenous retinal detachment［J］.Rec Adv Ophthalmol，2018,38（11）：1050-1054.
［12］　牛丽丽，胡俊喜． 玻璃体切割硅油填充术后孔源性视网膜脱离患者黄斑区视网膜厚度及视功能变化［J］．新乡医学院学报，2019，36(7):657-661．
NIU L L，HU J X.Changes of macular retinal thickness and visual function in patients with rhegmatogenous retinal detachment after vitrectomy and silicone oil tamponade［J］．J Xinxiang Med Univ，2019，36(7):657-661．

相似文献/References:

[1]田磊 万文萃 郭辉 王天云 卢杰 夏昆 金学民 胡正茂.高度近视家系 ZNF644基因突变筛查[J].眼科新进展,2012,32(5):000.
[2]计垣.近视的分子遗传学研究进展[J].眼科新进展,2012,32(6):000.
[3]刘彩娟 谭少健 李霞 唐东永 黄宝宇 梁皓.有晶状体眼虹膜固定型人工晶状体植入术后远期视觉质量[J].眼科新进展,2012,32(11):000.
[4]徐静 李雪.高度近视致病基因的研究新进展[J].眼科新进展,2012,32(11):000.
[5]唐东永 李霞 梁皓 何剑 谭少健.应用超声生物显微镜观察Bigbag人工晶状体在高度近视眼囊袋内的稳定性[J].眼科新进展,2013,33(6):000.
[6]蔡洁 李沁 何剑 赵必诚 邱耀英 谭少健.高度近视LASIK术后双眼调节聚散及近立体视功能的变化[J].眼科新进展,2013,33(8):000.
[7]雷智.高度近视一眼白内障另一眼透明晶状体双眼手术的疗效分析[J].眼科新进展,2013,33(8):000.
[8]吴岩 于靖.增生性玻璃体视网膜病变相关蛋白研究进展[J].眼科新进展,2012,32(1):000.
[9]杨积文 卜立敏 纪惠芳 苑苗苗 张悦.高度近视儿童配戴硬性透气性角膜接触镜临床观察[J].眼科新进展,2012,32(2):000.
[10]惠玲 张自峰 王雨生 师晓莉.超声乳化术治疗高度近视白内障的临床观察[J].眼科新进展,2012,32(8):000.
[11]王焕霞,姜涛,王哲,等.高度近视孔源性视网膜脱离行玻璃体切割联合晶状体手术后屈光状态的变化[J].眼科新进展,2018,38(1):073.[doi:10.13389/j.cnki.rao.2018.0016]
　WANG Huan-Xia,JIANG Tao,WANG Zhe,et al.Changes in refractive status in high-myopic patients with rhegmatogenous retinal detachment after vitrectomy combined with cataract surgery[J].Recent Advances in Ophthalmology,2018,38(7):073.[doi:10.13389/j.cnki.rao.2018.0016]

备注/Memo

备注/Memo:
N/A
更新日期/Last Update: 2020-07-05