Naeser K, Thim K, Hansen T E, Degn T, Madsen S, Skov J
Acta Ophthalmol (Copenh). 1986 Jun;64(3):330-7. doi: 10.1111/j.1755-3768.1986.tb06929.x.
Intraocular pressure (IOP) was measured before and 6, 24, 48 and 72 h after extracapsular cataract extraction with implantation of a posterior chambers lens in 3 groups of patients. Group I (30 patients): Sodium hyaluronate (Healon) was used during anterior capsulotomy and lens implantation and was aspirated at the end of surgery. Group II (22 patients): Healon as in group I + 500 mg acetazolamide at the end of surgery. Group III (17 patients): BSS and/or air was used instead of Healon during surgery. In all groups statistically significant rises in IOP after 6 h were followed by significant falls in the remaining post-operative period. The rise and subsequent fall in IOP was significantly greater in group I than in group III. Acetazolamide in group II did not prevent excessive rises in IOP. Aspiration probably shortens the period of Healon-induced hypertension. We recommend a meticulous aspiration of Healon at the end of surgery.
对3组患者在白内障囊外摘除联合后房型人工晶状体植入术前及术后6、24、48和72小时测量眼压。第一组（30例患者）：在前囊切开和晶状体植入过程中使用透明质酸钠（Healon），并在手术结束时吸出。第二组（22例患者）：同第一组使用Healon + 手术结束时500毫克乙酰唑胺。第三组（17例患者）：手术期间使用平衡盐溶液和/或空气代替Healon。所有组在术后6小时眼压均有统计学意义的升高，随后在术后剩余时间显著下降。第一组眼压的升高及随后的下降明显大于第三组。第二组中的乙酰唑胺未能预防眼压过度升高。吸出可能缩短了Healon引起的眼压升高期。我们建议在手术结束时仔细吸出Healon。
