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在术后即刻,对使用两种眼科粘弹剂在植入Visian STAAR(ICL,V4c型号)后手术时间和眼压峰值进行比较。

Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period.

作者信息

Ganesh Sri, Brar Sheetal

机构信息

Department of Phaco and Refractive Surgeries, Nethradhama Superspeciality Eye Hospital, Bangalore, India.

出版信息

Clin Ophthalmol. 2016 Jan 27;10:207-11. doi: 10.2147/OPTH.S89487. eCollection 2016.

DOI:10.2147/OPTH.S89487
PMID:26869754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4734818/
Abstract

PURPOSE

To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral implantable collamer lens (using the V4c model) implantation.

METHODS

A total of 20 eligible patients were randomized to receive 2% hydroxypropylmethylcellulose (HPMC) in one eye and 1% hyaluronic acid in fellow eye. Time taken for complete removal of OVD and total surgical time were recorded. At the end of surgery, IOP was adjusted between 15 and 20 mmHg in both the eyes.

RESULTS

Mean time for complete OVD evacuation and total surgical time were significantly higher in the HPMC group (P=0.00). Four eyes in the HPMC group had IOP spike, requiring treatment. IOP values with noncontact tonometry at 1, 2, 4, 24, and 48 hours were not statistically significant (P>0.05) for both the groups.

CONCLUSION

The study concluded that 1% hyaluronic acid significantly reduces total surgical time, and incidence of acute spikes may be lower compared to 2% HPMC when used for implantable collamer lens (V4c model).

摘要

目的

比较两种眼科粘弹剂(OVDs)对双侧植入式角膜接触镜(使用V4c模型)植入术后即刻眼压(IOP)和手术时间的影响。

方法

总共20例符合条件的患者被随机分为一只眼使用2%羟丙基甲基纤维素(HPMC),另一只眼使用1%透明质酸。记录完全清除OVD所需的时间和总手术时间。手术结束时,双眼眼压均调整至15至20 mmHg之间。

结果

HPMC组完全清除OVD的平均时间和总手术时间显著更长(P = 0.00)。HPMC组有4只眼出现眼压峰值,需要治疗。两组在1、2、4、24和48小时使用非接触眼压计测量的眼压值无统计学差异(P>0.05)。

结论

该研究得出结论,当用于植入式角膜接触镜(V4c模型)时,1%透明质酸可显著缩短总手术时间,且急性眼压峰值的发生率可能低于2% HPMC。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc6/4734818/ebfe61962c39/opth-10-207Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc6/4734818/5b98b589215f/opth-10-207Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc6/4734818/ebfe61962c39/opth-10-207Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc6/4734818/5b98b589215f/opth-10-207Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc6/4734818/ebfe61962c39/opth-10-207Fig2.jpg

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Implantable collamer posterior chamber intraocular lenses: a review of potential complications.可植入 Collamer 后房型人工晶状体:潜在并发症综述。
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可植入式胶原晶状体植入术后眼压升高的原因及管理策略。
Front Med (Lausanne). 2024 Feb 7;11:1351272. doi: 10.3389/fmed.2024.1351272. eCollection 2024.
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Clinical observations of EVO-ICL implantation and changes in corneal astigmatism using a modified technique.EVO-ICL 植入术的临床观察及改良技术对角膜散光的影响。
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Evaluation of the EVO/EVO+ Sphere and Toric Visian ICL: Six Month Results from the United States Food and Drug Administration Clinical Trial.EVO/EVO+ Sphere和散光型Visian ICL的评估:来自美国食品药品监督管理局临床试验的六个月结果。
Clin Ophthalmol. 2022 May 21;16:1541-1553. doi: 10.2147/OPTH.S369467. eCollection 2022.
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