国际眼科纵览

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白内障超声乳化术中眼压的变化及其影响

林佳  廖萱  兰长骏   

  1. 637000 四川南充, 川北医学院附属医院眼科 川北医学院眼视光学系
  • 收稿日期:2016-09-16 出版日期:2017-04-22 发布日期:2017-04-20
  • 通讯作者: 兰长骏,Email: lanchangjun@sina.com
  • 基金资助:

    四川省科技厅重点科技自筹项目(05SG011-25)

Changes of intraocular pressure during phacoemulsification and its influence

LIN Jia, LIAO Xuan, LAN Chang-jun   

  1. Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College;  Department of Ophthalmology & Optometry, North Sichuan Medical College, Nanchong Sichuan 637000, China
  • Received:2016-09-16 Online:2017-04-22 Published:2017-04-20
  • Contact: LAN Chang-jun, Email: lanchangjun@sina.com
  • Supported by:

    The Key Science and Technology Self-funded Project of Science and Technology Department of Sichuan Province(05SG011-25)

摘要:

白内障超声乳化术中眼压会发生大幅度变化,目前主要通过压力感应器与动物或人眼的前房或玻璃体腔连接,实时监测术中眼压的改变;也可采用博动性眼血流仪,将传感器放置在角膜中央,测量术中眼压和搏动性眼血流量。白内障超声乳化术中眼压的高低与灌注瓶高密切相关,且手术中各步骤眼压不断变化。眼压短期的急剧升高和波动可能导致视神经视网膜损害。对于晚期青光眼和缺血性视神经病变患者,术中在保持前房稳定的情况下尽量降低瓶高,减少视神经视网膜损害,术后获得更好的视功能。(国际眼科纵览, 2017,  41:  106-109)

Abstract:

Intraocular pressure (IOP)  significant varies during cataract phacoemulsification. At present, the studies of IOP in phacoemulsification  are mainly carried out using sensors connected with the animal or human eye anterior chamber or vitreous cavity, or implemented by sensors placed on the central cornea, so that the IOP and ocular blood flow can be measured in real-time fashion during operation. The results showed that intraoperative IOP was closely related to the height of the perfusion bottle and fluctuated strongly and constantly. Optic nerve and retina can be damaged on account of sharp increases and changes in intraoperative IOP. The surgeons should pay attention to the changes of intraoperative IOP, especially for patients with advanced glaucoma and ischemic optic neuropathy. In the case of maintaining the anterior chamber stability, reducing bottle height will decrease optic nerve and retinal damage and increase surgical safety.  (Int Rev Ophthalmol,  2017,  41:   106-109)