预防性使用乙酰唑胺以防止钕钇铝石榴石激光后囊切开术后眼压升高。
Prophylactic use of acetazolamide to prevent intraocular pressure elevation following Nd-YAG laser posterior capsulotomy.
作者信息
Ladas I D, Pavlopoulos G P, Kokolakis S N, Theodossiadis G P
机构信息
Department of Ophthalmology, Athens University School of Medicine, Greece.
出版信息
Br J Ophthalmol. 1993 Mar;77(3):136-8. doi: 10.1136/bjo.77.3.136.
Abstract
Fifty four eyes of 54 patients undergoing Nd-YAG laser posterior capsulotomy were randomly assigned to pretreatment with either 125 mg of oral acetazolamide (group A) or placebo (group B). During the first 3 hours following capsulotomy, an intraocular pressure (IOP) rise of at least 10 mm Hg was recorded in eight of the 26 eyes of group B (30.8%) and in none of the 28 eyes of group A (p < 0.01). A rise of at least 5 mm Hg was recorded in 16/26 (61.5%) and 4/28 (14.3%) eyes respectively (p < 0.001). Three eyes of group B developed an IOP greater than 35 mm Hg. We found that pretreatment with a low dose of acetazolamide is highly effective in preventing IOP elevation following Nd-YAG laser posterior capsulotomy.
摘要
54例行Nd-YAG激光后囊切开术的患者的54只眼睛被随机分为两组，一组术前口服125毫克乙酰唑胺（A组），另一组口服安慰剂（B组）。在囊切开术后的最初3小时内，B组26只眼中有8只（30.8%）眼压至少升高了10毫米汞柱，而A组28只眼中无一例出现这种情况（p<0.01）。眼压至少升高5毫米汞柱的情况在两组眼中分别为16/26（61.5%）和4/28（14.3%）（p<0.001）。B组有3只眼眼压高于35毫米汞柱。我们发现，低剂量乙酰唑胺预处理对预防Nd-YAG激光后囊切开术后眼压升高非常有效。
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本文引用的文献
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2
Neodymium-YAG laser for posterior capsulotomy.用于后囊切开术的钕钇铝石榴石激光。
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Intraocular pressure changes after neodymium-YAG laser posterior capsulotomy.钕-YAG激光后囊切开术后的眼压变化
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Ocular hypertension following Nd:YAG laser capsulotomy: a potentially blinding complication.钕钇铝石榴石激光晶状体囊切开术后的高眼压：一种潜在致盲并发症。
Ophthalmic Surg. 1984 Apr;15(4):283-4.
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Marked intraocular pressure rise following Nd:YAG laser capsulotomy.钕钇铝石榴石激光晶状体囊切开术后眼压显著升高。
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Progressive glaucomatous visual field loss after neodymium-YAG laser capsulotomy.钕钇铝石榴石激光晶状体囊切开术后青光眼性视野进行性丧失。
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