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[白内障摘除术对老年性白内障患者房水动力学的影响。一项前瞻性荧光光度学研究]

[Effect of cataract extraction on aqueous humor dynamics in patients with senile cataract. A prospective fluorophotometric study].

作者信息

Diestelhorst M, Krieglstein G K

机构信息

Universitäts-Augenklinik, Köln, Bundesrepublik Deutschland.

出版信息

Fortschr Ophthalmol. 1991;88(2):128-31.

PMID:1855728
Abstract

The influence of posterior chamber lens implantation on the aqueous humor dynamics was investigated using anterior chamber fluorophotometry before and 9 weeks after cataract extraction and IOL implantation. Thirty-four patients finished the protocol. Patients with preexisting glaucoma or those having a history of ocular or systemic inflammation were excluded from the study, as were those taking topical or systemic drugs with potential influence on the aqueous humor dynamics. Nine weeks after IOL implantation a mean increase in aqueous humor flow was noted. This increase was highly significant (p less than 0.01, Student's paired t-test). There were no significant changes in aqueous humor dynamics in the unoperated fellow eyes which served as controls. The significant difference in aqueous humor flow 9 weeks after cataract extraction and IOL implantation indicates that the liberation of prostaglandins may cause an increase in the ease of outflow facility.

摘要

采用前房荧光光度测定法,对34例患者在白内障摘除及人工晶状体植入术前和术后9周时房水动力学受后房型人工晶状体植入的影响进行了研究。所有患者均完成该研究方案。研究排除了患有青光眼或有眼部或全身炎症病史的患者,以及正在使用可能影响房水动力学的局部或全身药物的患者。人工晶状体植入9周后,房水流量平均增加。这种增加具有高度显著性(p<0.01,配对t检验)。作为对照的未手术对侧眼的房水动力学无显著变化。白内障摘除及人工晶状体植入9周后房水流量的显著差异表明,前列腺素的释放可能导致房水流出易度增加。

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