摘要
目的研究曲安奈德在先天性白内障手术中双撕囊联合前段玻切术中的作用及手术后的影响。方法在23例31只眼先天性白内障摘除手术过程中前房内注入曲安奈德标识玻璃体，应用前部玻璃体切割头将前房内的残余玻璃体彻底清除。术前及术后对术眼进行眼压测量、角膜内皮细胞计数、房闪程度、瞳孔状态、IOL位置等检查，随访6个月至2年。结果术后前房内无一例玻璃体残留。术前平均眼压（13．75＋1．43）mmHg，术后第一天平均眼压（22．37±3．12）mmHg（1mmHg=0．133kPa）．一月后平均眼压（13．45±1．28）mmHg，半年后平均眼压（14．23±2．86）mmHg。中央角膜内皮细胞计数术前为（2827．80±120．21）个／ram2，术后第一天（2013．21±102．45）个／mm2，一月后为（2125．32±114．56）个／mm2，半年后为（2157．11＋132．85）个／mm2。结论先天性白内障术中后囊膜切除后，前房内注入曲安奈德标识玻璃体可以使之可见，以便彻底清除前房内残余玻璃体，术后眼压无影响，且未观察到明显不良反应。
Objective To investigate intraoperative effectiveness and postoperative outcome of in- tracameral triamcinolone acetonide in pediatric cataract surgery. Methods Thirty-one eyes of 23 con- genital cataracts were received an intracameral triamcinolone acetonide suspension intraoperatively, clean the vitreous remaining in anterior chamber, and were followed up 6 months - 2 years. Intraocu- lar pressure （lOP） was measured; number of central corneal endothelium ceils were calculated and an- terior chamber cells; posterior synechiae; pupil position; IOL position were observed. Results There were no cases of vitreous remain in the anterior chamber. The average lOP was （13.75±1.43） mmHg preoperatively, （22.37±3.12） mmHg, （13.45±1.28） mmHg, （14.23±2.86） mmHg at 1 day,1 month and 6 months follow-up visit. The average of corneal endothelium cells was （2827.80±120.21）/mm2 preop- eratively, （2013.21＋102.45）/nun2 postoperatively, （2125.32±114.56）/mm2 at the 1 week follow-up visit, （2157.11±132.85）/mm2 at the 6 months. Conclusions Triamcinolone acetonide improve visualization of the vitreous during pediatric cataract surgery and ensuring thorough and complete anterior vitrecto- my. IOP is not affected, and no adverse postoperative results are observed.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第1期83-85,共3页
Chinese Journal of Practical Ophthalmology
关键词
先天性白内障
前部玻切
曲安奈德
Congenital cataract
Anterior vitrectomy
Triamcinolone acetonide
作者简介
通信作者：何伟，Email：hewei0111@163．com
