Iwata Kensaku, Haruta Masatoshi, Uehara Koji, Koshiyama Takeshi, Tsuru Hidetoshi, Yamakawa Ryoji
Department of Ophthalmology, Kurume University School of Medicine, Japan.
Nippon Ganka Gakkai Zasshi. 2013 Feb;117(2):95-101.
To evaluate the influence of postoperative lens status on intraocular pressure elevation and corneal endothelial cell loss in patients who underwent pars plana vitrectomy with silicone oil injection for the management of complex retinal detachment.
The medical records of 80 eyes of 79 patients who underwent silicone oil removal were reviewed retrospectively. For analysis, eyes were divided by postoperative lens status into 2 groups: pseudophakic eyes (IOL group) and aphakic eyes(aphakic group).
There was a significantly greater decrease in intraocular pressure after silicone oil removal in the aphakic group but not in the IOL group. As compared with the IOL group, the aphakic group showed a significant reduction in endothelial cell density at the time of silicone oil removal.
Patients who underwent silicone oil injection with pseudophakic eyes may have a lower risk of intraocular pressure elevation and corneal endothelial cell loss than those with aphakic eyes.
评估接受玻璃体切除联合硅油注入治疗复杂性视网膜脱离患者术后晶状体状态对眼压升高和角膜内皮细胞丢失的影响。
回顾性分析79例接受硅油取出术患者的80只眼的病历。为进行分析，根据术后晶状体状态将眼部分为2组：人工晶状体眼（IOL组）和无晶状体眼（无晶状体组）。
无晶状体组在硅油取出术后眼压下降明显大于IOL组。与IOL组相比，无晶状体组在硅油取出时内皮细胞密度显著降低。
接受硅油注入的人工晶状体眼患者相比无晶状体眼患者，眼压升高和角膜内皮细胞丢失的风险可能更低。
