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摘要 目的：探讨硅油填充术后高眼压的原因和治疗措施。方法：分析214例（215只眼）硅油填充术后继发性高眼压35眼的临床资料。结果：硅油填充术后高眼压的发生率16.3%,可能原因是硅油乳化，术后炎性反应，前房角变窄，无晶体眼瞳孔阻滞性，激素反应性高眼压，硅油填充过量。早期高眼压与术后炎性反应和硅油填充过量有关，中期以无晶体眼瞳孔阻滞、前房角变窄和激素性高眼压为主，晚期多见于硅油乳化。结论：硅油填充术后应根据不同时期可能出现高眼压的原因，及时治疗，防止硅油填充术后因高眼压所造成的视功能损害。
Clinical analysis of high intraocular pressure after silicone oil tamponade ZENG jun, , TANG Luo-sheng , Zhu Xiao-hua et al (Department of Ophthalmology, The Second Xiangya Hospital, Central-South University, Changsha, 410011,Hunan, China)
Abstract Objective: To investigate the relative factors and treatment method concerned with high intraocular pressure (IOP) after silicone oil tamponade. Methods: Clinical records were analysed for 35 eyes with secondary high IOP in 214 cases(215 eyes) after silicone oil tamponade . Result: The incidence of high IOP was 16.3%.The causes of high IOP were due to silicone oil emulsification, inflammation, aphakia pupillary block, glucocorticoid-induced and silicone oil overfilling. High IOP was due to inflammation and silicone oil overfilling in early stage. In the middle stage high IOP was due to narrowed anterior chamer, glucocorticoid-induced and aphakia pupillary block. At the late stage high IOP was due to silicone oil emulsification. Conclusion: The high IOP is a common compliction after silicone oil tamponade.Ontime treatment according to the causes at different stages can prevent the further damage of the visual function after silicone oil tamponade.
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