Whitefield L, Crowston J, Little B C
Department of Ophthalmology, Royal Free Hospital, London.
Br J Ophthalmol. 1996 Feb;80(2):148-50. doi: 10.1136/bjo.80.2.148.
To determine the postoperative morbidity on day 1 after uncomplicated phacoemulsification.
A prospective study was performed on 100 otherwise healthy eyes after uncomplicated phacoemulsification and lens implant. Patients were examined on the first postoperative day and any deviation from a set postoperative protocol was recorded.
Transient intraocular pressure rises of 30 mm Hg or greater were seen in three eyes. These all settled after a single dose of oral acetazolamide 250 mg.
The results of this study reinforce the clinical impression that the need for day 1 routine follow up in this selected group of patients is questionable and probably unnecessary.
确定单纯白内障超声乳化吸除术后第1天的术后发病率。
对100只行单纯白内障超声乳化吸除及人工晶状体植入术的健康眼进行前瞻性研究。术后第1天对患者进行检查,并记录任何偏离既定术后方案的情况。
3只眼出现了30mmHg或更高的短暂眼压升高。给予单次口服250mg乙酰唑胺后,这些情况均得到缓解。
本研究结果强化了一种临床印象,即在这一特定患者群体中,术后第1天进行常规随访的必要性值得怀疑,可能并无必要。