玻璃体切割术联合或不联合超声乳化白内障吸除及人工晶状体植入术后的眼压变化
Intraocular pressure changes after vitrectomy with and without combined phacoemulsification and intraocular lens implantation.
作者信息
Yang Hee Kyung, Woo Se Joon, Park Kyu Hyung, Park Ki Ho
机构信息
Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.
出版信息
Korean J Ophthalmol. 2010 Dec;24(6):341-6. doi: 10.3341/kjo.2010.24.6.341. Epub 2010 Nov 23.
Abstract
PURPOSE
To determine sequential intraocular pressure (IOP) changes after pars plana vitrectomy (PPV) with or without combined phacoemulsification and intraocular lens implantation (PE & IOL).
METHODS
Consecutive patients who underwent PPV with PE & IOL (combined group) or without PE & IOL (vitrectomy group) were reviewed for postoperative sequential IOPs and the number of IOP lowering medications used. Of the 68 patients (68 eyes) who underwent simple PPV, 41 eyes were allocated to the vitrectomy group, and 27 eyes to the combined group.
RESULTS
The mean IOPs were higher on postoperative days one and two, as compared to preoperative values, in both groups. The mean IOP changes on postoperative day one (10.0 mmHg vs. 5.3 mmHg, p = 0.02) and day two (3.7 mmHg vs. 1.3 mmHg, p = 0.02) were significantly higher in the combined group.
CONCLUSIONS
Phacovitrectomy is associated with a higher risk of IOP elevation during the early postoperative period than PPV alone. Caution should be exercised in patients who are vulnerable to IOP fluctuations when combined surgery is indicated.
摘要
目的
确定行或不行联合超声乳化白内障吸除及人工晶状体植入术（PE&IOL）的玻璃体切割术（PPV）后眼压（IOP）的连续变化情况。
方法
回顾性分析连续接受联合PE&IOL的PPV（联合组）或未接受PE&IOL的PPV（玻璃体切割术组）的患者术后的连续眼压及使用的降眼压药物数量。在68例行单纯PPV的患者（68只眼）中，41只眼被分配至玻璃体切割术组，27只眼被分配至联合组。
结果
两组术后第1天和第2天的平均眼压均高于术前值。联合组术后第1天（10.0 mmHg对5.3 mmHg，p = 0.02）和第2天（3.7 mmHg对1.3 mmHg，p = 0.02）的平均眼压变化显著更高。
结论
与单纯PPV相比，超声乳化玻璃体切割术在术后早期眼压升高的风险更高。对于有眼压波动风险的患者，如需行联合手术应谨慎。
相似文献
1
Intraocular pressure changes after vitrectomy with and without combined phacoemulsification and intraocular lens implantation.玻璃体切割术联合或不联合超声乳化白内障吸除及人工晶状体植入术后的眼压变化
Korean J Ophthalmol. 2010 Dec;24(6):341-6. doi: 10.3341/kjo.2010.24.6.341. Epub 2010 Nov 23.
2
Combined surgery and sequential surgery comprising phacoemulsification, pars plana vitrectomy, and intraocular lens implantation: comparison of clinical outcomes.包括超声乳化、玻璃体切割术和平坦部玻璃体切除术以及人工晶状体植入术的联合手术和序贯手术：临床结果比较
J Cataract Refract Surg. 2002 Nov;28(11):2001-5. doi: 10.1016/s0886-3350(02)01354-8.
3
Long-term intraocular pressure changes after combined phacoemulsification, intraocular lens implantation, and vitrectomy.白内障超声乳化吸出术、人工晶状体植入联合玻璃体切割术后的长期眼压变化。
Jpn J Ophthalmol. 2013 Jan;57(1):57-62. doi: 10.1007/s10384-012-0207-7. Epub 2012 Oct 27.
4
Efficacy of removing dislocated lens using intravitreal phacoemulsification.经玻璃体超声乳化摘除脱位晶状体的疗效
Eye Sci. 2012 Mar;27(1):34-6. doi: 10.3969/j.issn.1000-4432.2012.01.007.
5
Early postoperative intraocular pressure stability after combined 23-gauge sutureless vitrectomy and cataract surgery in patients with proliferative diabetic retinopathy.增生型糖尿病视网膜病变患者行 23G 免缝线玻璃体切割联合白内障手术后的早期术后眼内压稳定性。
Retina. 2012 Oct;32(9):1767-74. doi: 10.1097/IAE.0b013e3182475ad6.
6
Pars plana vitrectomy, phacoemulsification and intraocular lens implantation. Comparison of clinical complications in a combined versus two-step surgical approach.经睫状体平坦部玻璃体切除术、超声乳化白内障吸除术及人工晶状体植入术。联合手术与两步手术方法临床并发症的比较。
Graefes Arch Clin Exp Ophthalmol. 2006 Jul;244(7):808-15. doi: 10.1007/s00417-005-0146-9. Epub 2005 Dec 3.
7
Evaluation of corneal hysteresis after pars plana vitrectomy combined phacoemulsification and intraocular lens implantation.评价经睫状体平坦部玻璃体切除联合白内障超声乳化吸除及人工晶状体植入术后的角膜滞后量。
Sci Rep. 2022 Aug 26;12(1):14630. doi: 10.1038/s41598-022-18299-1.
8
Surgical results of combined pars plana vitrectomy, phacoemulsification, and intraocular lens implantation.玻璃体切割、超声乳化及人工晶状体植入联合手术的结果
Eur J Ophthalmol. 2006 Mar-Apr;16(2):279-86. doi: 10.1177/112067210601600214.
9
Tilt and decentration of the intraocular lens following combined vitrectomy and pars plana lensectomy.玻璃体切除术联合晶状体平坦部切除术术后人工晶状体的倾斜和偏心
Acta Ophthalmol Scand. 2006 Jun;84(3):388-9. doi: 10.1111/j.1600-0420.2006.00647.x.
10
[Pars plana vitrectomy, phacoemulsification and intraocular lens implantation for the management of cataract and proliferative diabetic retinopathy: comparison of a combined versus two-step surgical approach].[玻璃体切割联合白内障超声乳化吸除及人工晶状体植入术治疗白内障合并增殖性糖尿病视网膜病变：联合手术与两步手术方法的比较]
Arch Soc Esp Oftalmol. 2009 Jan;84(1):31-8. doi: 10.4321/s0365-66912009000100005.
引用本文的文献
1
Premacular membranes and glaucoma: a review of clinical and therapeutic considerations.黄斑前膜与青光眼：临床及治疗考量综述
Graefes Arch Clin Exp Ophthalmol. 2025 Mar 13. doi: 10.1007/s00417-025-06796-8.
2
Prediction model for elevated intraocular pressure risk after silicone oil filling based on clinical features.基于临床特征的硅油填充后眼压升高风险预测模型
Front Med (Lausanne). 2024 Jan 9;10:1340198. doi: 10.3389/fmed.2023.1340198. eCollection 2023.
3
Outcomes of Anterior Chamber, Sulcus, and Pars Plana Glaucoma Drainage Device Placement in Glaucoma Patients.青光眼患者前房、巩膜沟和睫状体平坦部青光眼引流装置植入的效果
J Ophthalmol. 2022 Jul 20;2022:5947992. doi: 10.1155/2022/5947992. eCollection 2022.
4
Intraocular Pressure Change and Sustained Intraocular Pressure Elevation After Pars Plana Vitrectomy.玻璃体切割术后眼压变化及眼压持续升高
Beyoglu Eye J. 2021 Jun 8;6(2):96-101. doi: 10.14744/bej.2021.92408. eCollection 2021.
5
Changes in intraocular pressure after intraocular eye surgery-the influence of measuring technique.眼内手术后眼压的变化——测量技术的影响
Int J Ophthalmol. 2019 Jun 18;12(6):967-973. doi: 10.18240/ijo.2019.06.14. eCollection 2019.
6
Intraocular pressure 1 year after vitrectomy in eyes without a history of glaucoma or ocular hypertension.无青光眼或高眼压病史的眼睛在玻璃体切除术后1年的眼压
Clin Ophthalmol. 2017 Nov 22;11:2091-2097. doi: 10.2147/OPTH.S144985. eCollection 2017.
7
Combined 23-gauge sutureless vitrectomy and clear corneal phacoemulsification for rhegmatogenous retinal detachment repair.23G无缝合玻璃体切除术联合透明角膜超声乳化术治疗孔源性视网膜脱离
Int J Ophthalmol. 2015 Feb 18;8(1):122-7. doi: 10.3980/J.ISSN.2222-3959.2015.01.23. eCollection 2015.
本文引用的文献
1
Intravitreal triamcinolone reduces the morphologic changes of ciliary body after pars plana vitrectomy for retinal vascular diseases.玻璃体内注射曲安奈德可减轻视网膜血管疾病行玻璃体切除术后睫状体的形态学改变。
Am J Ophthalmol. 2008 Jun;145(6):1037-1044. doi: 10.1016/j.ajo.2008.01.029. Epub 2008 Apr 18.
2
Evaluation of intraocular pressure in the immediate postoperative period after phacoemulsification.白内障超声乳化吸除术后近期眼压的评估。
J Cataract Refract Surg. 2007 Nov;33(11):1953-7. doi: 10.1016/j.jcrs.2007.06.039.
3
Incidence of intraocular pressure spike and other adverse events after vitreoretinal surgery.玻璃体视网膜手术后眼压升高及其他不良事件的发生率。
Ophthalmology. 2006 Jan;113(1):42-7. doi: 10.1016/j.ophtha.2005.10.010. Epub 2005 Dec 19.
4
Pars plana vitrectomy, phacoemulsification and intraocular lens implantation. Comparison of clinical complications in a combined versus two-step surgical approach.经睫状体平坦部玻璃体切除术、超声乳化白内障吸除术及人工晶状体植入术。联合手术与两步手术方法临床并发症的比较。
Graefes Arch Clin Exp Ophthalmol. 2006 Jul;244(7):808-15. doi: 10.1007/s00417-005-0146-9. Epub 2005 Dec 3.
5
Impairment of visual acuity and reading performance and the relationship with cataract type and density.视力和阅读能力受损及其与白内障类型和密度的关系。
Invest Ophthalmol Vis Sci. 2005 Jun;46(6):2071-5. doi: 10.1167/iovs.04-0890.
6
[Intraocular pressure in early postoperative period after cataract phacoemulsification].
Klin Oczna. 2004;106(1-2 Suppl):194-5.
7
Intraocular pressure rise after phacoemulsification surgery in glaucoma patients.青光眼患者白内障超声乳化吸除术后眼压升高
J Cataract Refract Surg. 2004 Jun;30(6):1219-24. doi: 10.1016/j.jcrs.2002.11.001.
8
The role of patient age and intraocular gas use in cataract progression after vitrectomy for macular holes and epiretinal membranes.患者年龄及眼内气体使用在黄斑裂孔和视网膜前膜玻璃体切除术后白内障进展中的作用。
Am J Ophthalmol. 2004 Feb;137(2):250-7. doi: 10.1016/j.ajo.2003.09.020.
9
Combining phacoemulsification with pars plana vitrectomy in patients with proliferative diabetic retinopathy: a series of 223 cases.增殖性糖尿病视网膜病变患者白内障超声乳化联合玻璃体切除术：223例系列研究
Ophthalmology. 2003 Jul;110(7):1335-9. doi: 10.1016/S0161-6420(03)00454-8.
10
Intraocular pressure changes and the implications on patient review after phacoemulsification.白内障超声乳化术后的眼压变化及其对患者复查的影响。
J Cataract Refract Surg. 2003 Mar;29(3):504-7. doi: 10.1016/s0886-3350(02)01481-5.
Zotero 插件