García-Pérez Jorge L, Rebolleda Gema, Muñoz-Negrete Francisco J
Ramón y Cajal Hospital, Madrid, Spain.
J Cataract Refract Surg. 2008 Aug;34(8):1374-8. doi: 10.1016/j.jcrs.2008.04.025.
To study the intraocular pressure (IOP) as a prognostic indicator on the first day after combined phacoemulsification and nonpenetrating deep sclerectomy.
Ramón y Cajal Hospital, Madrid, Spain.
This retrospective study included 70 eyes of 70 patients who had combined phacoemulsification-nonpenetrating deep sclerectomy with a reticulated hyaluronic acid implant. Visual acuity, IOP, and slitlamp examinations were performed preoperatively and 1 and 7 days and 1, 3, 6, 12, and 24 months postoperatively. A split point of 9.0 mm Hg on the first postoperative day was used. Success probability analysis was performed using a Kaplan-Meier survival curve. The need for medication and postoperative neodymium:YAG goniopuncture was also recorded.
The mean preoperative IOP was 22.5 mm Hg +/- 5.2 (SD). The mean postoperative IOP was 11.6 +/-8.1 mm Hg, 16.4 +/- 4.7 mm Hg, and 17.0 +/- 5.3 SD mm Hg at 1 day, 12 months, and 24 months, respectively. A greater success rate was observed in terms of survival (P = .006, log rank test) in patients with an IOP of 9 mm Hg or less on the first postoperative day; these patients also had a significantly reduced need for glaucoma treatment (P = .015) and goniopuncture (P = .009).
An IOP of 9 mm Hg or less on the first postoperative day might serve as a positive prognostic indicator in combined phacoemulsification with deep sclerectomy.
研究白内障超声乳化吸除联合非穿透性深层巩膜切除术术后第一天的眼压（IOP）作为预后指标的情况。
西班牙马德里拉蒙·伊·卡哈尔医院。
这项回顾性研究纳入了70例接受白内障超声乳化吸除联合非穿透性深层巩膜切除术并植入网状透明质酸的患者的70只眼。术前以及术后1天、7天、1个月、3个月、6个月、12个月和24个月进行视力、眼压和裂隙灯检查。术后第一天的眼压分界点设定为9.0 mmHg。采用Kaplan-Meier生存曲线进行成功概率分析。记录用药需求和术后钕:钇铝石榴石激光房角穿刺情况。
术前平均眼压为22.5 mmHg±5.2（标准差）。术后1天、12个月和24个月的平均眼压分别为11.6±8.1 mmHg、16.4±4.7 mmHg和17.0±5.3标准差mmHg。术后第一天眼压≤9 mmHg的患者在生存方面成功率更高（P = .006，对数秩检验）；这些患者青光眼治疗需求（P = .015）和房角穿刺需求（P = .009）也显著降低。
白内障超声乳化吸除联合深层巩膜切除术术后第一天眼压≤9 mmHg可能是一个良好的预后指标。
