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白内障手术后固定性瞳孔散大——这与眼内使用羟丙甲纤维素有关吗?

The fixed dilated pupil after cataract surgery--is it related to intraocular use of hypromellose?

作者信息

Tan A K, Humphry R C

机构信息

Department of Ophthalmology, Salisbury District Hospital.

出版信息

Br J Ophthalmol. 1993 Oct;77(10):639-41. doi: 10.1136/bjo.77.10.639.

Abstract

Hypromellose can be used as a viscoelastic substance during cataract surgery. Two groups of patients, one group operated on using hypromellose, the other using sodium hyaluronate as a viscoelastic substance were followed up 2-6 months postoperatively. A total of 16.7% of the eyes operated on using hypromellose developed a non-reactive semidilated pupil whereas none of the eyes from the control group developed this phenomenon. It was concluded that there is a probable link between the intraocular use of hypromellose and abnormal pupils after cataract surgery.

摘要

羟丙甲纤维素可在白内障手术中用作粘弹性物质。两组患者,一组使用羟丙甲纤维素进行手术,另一组使用透明质酸钠作为粘弹性物质,术后随访2至6个月。使用羟丙甲纤维素进行手术的眼睛中有16.7%出现了无反应性半散瞳,而对照组的眼睛均未出现这种现象。得出的结论是,白内障手术后眼内使用羟丙甲纤维素与瞳孔异常之间可能存在联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef6c/504606/8d0a44ec18c6/brjopthal00046-0029-a.jpg

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