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白内障超声乳化吸除及后房型人工晶状体植入术后前房深度和眼压的变化

Changes in anterior chamber depth and intraocular pressure after phacoemulsification and posterior chamber intraocular lens implantation.

作者信息

Cekic O, Batman C, Totan Y, Emre M I, Zilelioglu O

机构信息

Eye Clinic of SSK, Ankara Hospital, Turkey.

出版信息

Ophthalmic Surg Lasers. 1998 Aug;29(8):639-42.

PMID:9715488
Abstract

BACKGROUND AND OBJECTIVE

To determine anterior chamber depth (ACD) and intraocular pressure (IOP) following uncomplicated cataract extraction with phacoemulsification and posterior chamber intraocular lens (IOL) implantation.

PATIENTS AND METHODS

The ACDs and IOPs of 56 patients were prospectively evaluated after phacoemulsification and IOL implantation. Measurements of ACD were performed using ultrasonography and measurements of IOP were performed using a Goldmann applanation tonometer preoperatively and at 1 week and 1, 3, 6, and 9 months postoperatively.

RESULTS

The mean IOP had decreased and the mean ACD had increased significantly by 1 month postoperatively (P < .03 and P < .01, respectively). Between 1 and 3 months, a significant increase in ACD (P < .05) and decrease in IOP (P < .01) was also observed. The ACD peaked (3.51 +/- 0.45 mm) and the IOP reached its lowest value (10.05 +/- 2.23 mm Hg) at 3 months postoperatively. The reduction in IOP and increase in ACD remained significant during the follow-up period, compared with the preoperative values.

CONCLUSION

These results suggest that increases in ACD and decreases in IOP occur in selected patients after uncomplicated cataract extraction by phacoemulsification with IOL implantation.

摘要

背景与目的

确定白内障超声乳化吸出联合后房型人工晶状体植入术后前房深度(ACD)和眼压(IOP)的变化情况。

患者与方法

前瞻性评估56例患者白内障超声乳化吸出联合人工晶状体植入术后的前房深度和眼压。术前及术后1周、1、3、6和9个月,采用超声检查测量前房深度,用Goldmann压平眼压计测量眼压。

结果

术后1个月时,平均眼压显著降低,平均前房深度显著增加(分别为P < 0.03和P < 0.01)。在术后1至3个月期间,前房深度也显著增加(P < 0.05),眼压显著降低(P < 0.01)。术后3个月时,前房深度达到峰值(3.51±0.45 mm),眼压降至最低值(10.05±2.23 mmHg)。与术前值相比,随访期间眼压降低和前房深度增加仍具有显著性。

结论

这些结果表明,白内障超声乳化吸出联合人工晶状体植入术后,部分患者会出现前房深度增加和眼压降低的情况。

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