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滤过泡患者的类固醇性高眼压症

Steroid-induced ocular hypertension in patients with filtering blebs.

作者信息

Wilensky J T, Snyder D, Gieser D

出版信息

Ophthalmology. 1980 Mar;87(3):240-4. doi: 10.1016/s0161-6420(80)35248-2.

DOI:10.1016/s0161-6420(80)35248-2
PMID:7422263
Abstract

Four patients developed moderate to marked (25 to 42 mm Hg) elevation of intraocular pressure (IOP) while receiving chronic topical corticosteroids following filtration surgery. All of the eyes had good filtering blebs and no obvious reasons for the elevated IOP. The IOP dropped to 20 mm Hg or lower after the steroid drops were stopped. Our cases support the hypothesis that topical corticosteroid medication can cause an elevated IOP in eyes with functioning filtering blebs during the early postoperative period.

摘要

4例患者在滤过性手术后接受长期局部使用皮质类固醇治疗时,出现了中度至显著(25至42毫米汞柱)的眼压升高。所有患眼均有良好的滤过泡,且眼压升高无明显原因。停用类固醇滴眼液后,眼压降至20毫米汞柱或更低。我们的病例支持这样的假说,即在术后早期,局部使用皮质类固醇药物可导致具有功能的滤过泡的眼睛眼压升高。

相似文献

1
Steroid-induced ocular hypertension in patients with filtering blebs.滤过泡患者的类固醇性高眼压症
Ophthalmology. 1980 Mar;87(3):240-4. doi: 10.1016/s0161-6420(80)35248-2.
2
Ab Interno Trabeculectomy With the Trabectome as a Valuable Therapeutic Option for Failed Filtering Blebs.使用 Trabectome 进行内路小梁切除术作为滤过泡失败的一种有价值的治疗选择。
J Glaucoma. 2016 Sep;25(9):758-62. doi: 10.1097/IJG.0000000000000492.
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[Encapsulated filtering blebs--incidence and methods of treatment].[包裹性滤过泡——发病率及治疗方法]
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[Shape of filtration blebs and pressure regulation after trabeculectomy].[小梁切除术后滤过泡的形态与眼压调节]
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Filtering procedures in American blacks.
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Relationships between Intraocular Pressure, Effective Filtration Area, and Morphological Changes in the Trabecular Meshwork of Steroid-Induced Ocular Hypertensive Mouse Eyes.眼压、有效滤过面积与类固醇诱导的高血压性鼠眼小梁网形态变化的关系。
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引用本文的文献

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Steroids and/or Non-Steroidal Anti-Inflammatory Drugs as Postoperative Treatment after Trabeculectomy-12-Month Results of a Randomized Controlled Trial.小梁切除术后使用类固醇和/或非甾体抗炎药作为术后治疗——一项随机对照试验的12个月结果
J Clin Med. 2024 Feb 2;13(3):887. doi: 10.3390/jcm13030887.
2
Steroid Response after Trabeculectomy-A Randomized Controlled Trial Comparing Dexamethasone to Diclofenac Eye Drops.小梁切除术后的类固醇反应——一项比较地塞米松与双氯芬酸滴眼液的随机对照试验
J Clin Med. 2022 Dec 12;11(24):7365. doi: 10.3390/jcm11247365.
3
Ultrasound biomicroscopy of eyes undergoing deep sclerectomy with collagen implant.
使用胶原植入物进行深层巩膜切除术的眼睛的超声生物显微镜检查。
Br J Ophthalmol. 1996 Jun;80(6):541-4. doi: 10.1136/bjo.80.6.541.
4
Glaucoma filtering surgery, a retrospective study of 300 operations.
Doc Ophthalmol. 1987 Sep-Oct;67(1-2):151-70. doi: 10.1007/BF00142710.
5
Raised intraocular pressure with topical steroids after trabeculectomy.
Graefes Arch Clin Exp Ophthalmol. 1988;226(4):337-40. doi: 10.1007/BF02172963.