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目的 探讨复杂性视网膜脱离平坦部玻璃体切割硅油填充后高眼压与低眼压的发生和危险因素。方法 对62例(66眼)平坦部玻切硅油填充的复杂网脱病例进行随访检查。结果 随访至1年,高眼压和低眼压发生率为31.82％和15.15％,术后第一天高眼压与其它随访期比较无差异,p>0.05。增殖性糖尿病视网膜病变和增殖性玻璃体视网膜病变及有青光眼史和糖尿病史与无上述病史的高眼压发生率有显著差异,分别为p<0.01和p<0.05。80％术后低眼压患者术前就存在低眼压和无晶状体。结论 高眼压和低眼压是复杂纲脱硅油填充术后的常见许发症,其发生率分别为31.82％(21眼)和15.15％(10眼),前者的危险因素包括青年眼和糖尿病史及术后第一天高眼压的发生;术前低眼压和无晶状体是后者的危险因素。
Objective To investigate the occurrence and risk factors of ocular hypertension and hypotension after vitreous cut silicone oil filling in complex retinal detachment. Methods Sixty-two patients (66 eyes) with flat glass-cut silicone oil-filled complex nets were followed up. Results The follow-up to 1 year showed that the incidences of ocular hypertension and ocular hypertension were 31.82% and 15.15%. There was no difference between the first day after operation and other follow-up periods, p> 0.05. Proliferative diabetic retinopathy and proliferative vitreoretinopathy and glaucoma history and history of diabetes mellitus and no such history of the occurrence of ocular hypertension were significantly different, respectively, p <0.01 and p <0.05.80% postoperative hypotensive patients Preoperative there is low intraocular pressure and aphakia. Conclusions Intraocular hypertension and ocular hypotension are common complications of silicone oil-filled complex surgery. The incidence rates of intraocular pressure (IOP) and hypotonic pressure (IOP) are 31.82% (21 eyes) and 15.15% (10 eyes) respectively. The former risk factors include youth eyes and diabetes History and the first day after the occurrence of intraocular hypertension; preoperative intraocular pressure and aphakia are the risk factors for the latter.