隆鼻术后眼压变化：一项前后对照的横断面研究。
Intraocular Pressure Changes After Rhinoplasty: A Before-and-After Cross-Sectional Study.
作者信息
Tabrizi Ali Goljanian, Ghazizadeh Matin, Zahedi Atiyeh
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital Shahid Beheshti University of Medical Sciences Tehran Iran.
出版信息
Health Sci Rep. 2025 Jan 22;8(1):e70389. doi: 10.1002/hsr2.70389. eCollection 2025 Jan.
BACKGROUND AND AIMS
Rhinoplasty, a prevalent cosmetic surgery, often involves lateral osteotomy, which can lead to ocular complications such as edema and ecchymosis. A potential complication is increased intraocular pressure (IOP) postoperatively. This study aims to investigate the impact of lateral osteotomy during rhinoplasty on IOP in patients.
METHODS
This prospective before-and-after cross-sectional study evaluated the effect of lateral osteotomy during rhinoplasty on IOP in 96 patients. Preoperative ophthalmologic examinations included best-corrected visual acuity, slit lamp biomicroscopy, Goldmann tonometry, and dilated fundoscopy. IOP measurements were taken three times per eye at baseline, during surgery, on the first postoperative day, after nasal pin removal on the seventh postoperative day, and on the thirtieth postoperative day using a Goldmann tonometer. The mean IOP was recorded at each time point.
RESULTS
The study found no significant changes in IOP at 1, 7, or 30 days postsurgery ( = 0.194). Additionally, the type of surgery did not significantly affect ocular internal pressure ( = 0.622).
CONCLUSION
Rhinoplasty with lateral osteotomy appears to be safe concerning IOP. However, monitoring IOP during rhinoplasty is advisable.
背景与目的
隆鼻术是一种常见的整形手术，通常需要进行外侧截骨，这可能会导致眼部并发症，如水肿和瘀斑。一种潜在的并发症是术后眼压升高（IOP）。本研究旨在调查隆鼻术中外侧截骨对患者眼压的影响。
方法
这项前瞻性前后横断面研究评估了96例患者在隆鼻术中进行外侧截骨对眼压的影响。术前眼科检查包括最佳矫正视力、裂隙灯生物显微镜检查、Goldmann眼压测量法和散瞳眼底检查。使用Goldmann眼压计在基线、手术期间、术后第一天、术后第七天拔除鼻夹后以及术后第三十天对每只眼睛进行三次眼压测量。记录每个时间点的平均眼压。
结果
研究发现术后1天、7天或30天眼压无显著变化（P = 0.194）。此外，手术类型对眼内压无显著影响（P = 0.622）。
结论
就眼压而言，外侧截骨隆鼻术似乎是安全的。然而，在隆鼻术中监测眼压是可取的。
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