Tachi N, Kondo M, Uchida H, Ogino N
Department of Ophthalmology, Aichi Medical University, Japan.
Nippon Ganka Gakkai Zasshi. 1995 Mar;99(3):329-35.
We studied the anterior chamber inflammation with a laser flaremeter after transvitreal membrane peeling surgery for posterior vitreous membrane syndrome and cataract intraocular lens surgery, through separate surgery and combined surgery. In 16 eyes with vitrectomy and membrane peeling, mean flare count had one peak of 11 photons/msec at postoperative days 5 through 7. In 10 eyes with phacoemulsification and aspiration with posterior chamber lens implantation, the mean flare count had two peaks of 11 photons/msec at postoperative day 1 and in postoperative week 2. In 25 eyes with combined surgery of vitrectomy and cataract intraocular lens surgery, the mean flare count was similar to the summation of that of each simple surgery. In these 25 eyes, in 9 eyes with sutures, the mean flare count had two peaks of 37 photons/msec at postoperative day 1 and 27 photons/msec at postoperative week 2, and in 16 eyes with self sealing wounds, the mean flare count had one peak of 22 photons/msec at postoperative week two. In 14 vitrectomized eyes with cataract-intraocular lens surgery, the mean flare count was as high as in combined surgery. In eyes with self sealing wounds, the flare count at postoperative day one was significantly lower than that of sutured eyes.
我们通过单独手术和联合手术,使用激光散射仪研究了玻璃体后脱离综合征和白内障人工晶状体手术的经玻璃体膜剥脱术后前房炎症。在16例行玻璃体切割和膜剥脱的眼中,术后第5至7天平均闪光计数有一个峰值,为11光子/毫秒。在10例行超声乳化吸除联合后房型人工晶状体植入的眼中,平均闪光计数在术后第1天和术后第2周有两个峰值,均为11光子/毫秒。在25例行玻璃体切割和白内障人工晶状体联合手术的眼中,平均闪光计数与每种单纯手术的计数总和相似。在这25眼中,9眼有缝线,平均闪光计数在术后第1天有一个37光子/毫秒的峰值,在术后第2周有一个27光子/毫秒的峰值;16眼为自闭式伤口,平均闪光计数在术后第2周有一个22光子/毫秒的峰值。在14例行白内障人工晶状体手术的玻璃体切割眼中,平均闪光计数与联合手术时一样高。在自闭式伤口的眼中,术后第1天的闪光计数明显低于有缝线的眼。