在白内障手术,玻璃切除术和联合手术后,眼内压力和前腔参数的变化
Sangyoon Kim1,2, Su Hwan Park1,2, Seung Min Lee1,2
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Yangsan, Korea.
Korean journal of ophthalmology : KJO
|December 17, 2023
概括
白内障手术,带或不带玻璃切除术,显著降低眼内压力 (IOP) 和改变前段参数. 这些IOP变化与结晶透镜去除和手术前前腔室尺寸有关.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 前段成像前段成像的使用
背景情况:
- 眼内压力 (IOP) 的管理在眼科中至关重要.
- 白内障手术和玻璃切除术是常见的手术,可能会对眼睛生理学产生影响.
- 了解前段的术后变化对于患者的治疗结果至关重要.
研究的目的:
- 为了研究白内障手术,玻璃切除术和联合手术后眼内压力 (IOP) 和前段参数的变化.
- 为了将手术前期和手术后期的前部段度量与内皮压变化相关联.
主要方法:
- 对96只接受白内障手术,玻璃切除术或联合手术的眼睛进行了回顾性分析.
- 用于测量的扫源前段光学连贯性断层扫描 (AS-OCT).
- 测量的关键参数:内压力 (IOP),前腔深度 (ACD),角度开口距离 (AOD),轨道眼-虹膜角 (TIA) 和轨道眼-虹膜空间面积 (TISA).
主要成果:
- 白内障和联合手术组显示显着减少IOP和增加中枢角膜厚度.
- 前腔深度 (ACD) 在所有组都增加;在白内障和联合组中,AOD,TIA和TISA在术后增加.
- 在白内障和综合手术患者中,较小的术前ACD和角度参数与较大的IOP降低相关.
结论:
- 白内障手术,带或不带玻璃切除术,有效地降低了IOP和修改前段几何.
- 摘除晶状透镜似乎是这些内视点变化的主要驱动因素.
- 手术前前部段的特征影响了手术后内皮压减小的程度.
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