白内障术后激素性高眼压危险因素的临床分析

目的:研究白内障术后激素性高眼压发生的危险因素,期望对临床白内障术后糖皮质激素的使用具有一定的指导作用。方法:回顾性分析2005-01/2006-12行白内障超声乳化联合人工晶状体植入术患者糖皮质激素使用后眼压情况。结果:使用糖皮质激素眼液的患者1459例中24例发生糖皮质激素性高眼压,男14例,女10例,年龄、高度近视、糖尿病、术前眼外伤、术前色素膜炎为白内障摘除联合人工晶状体植入术后糖皮质激素性高眼压的危险因素。结论:白内障摘除联合人工晶状体植入术后糖皮质激素性高眼压的发生率为1.36%。眼局部长期大量使用激素是其发生的重要危险因素。

Clinical study on risk factors of corticosteroid-induced ocular hypertension after cataract surgery

AIM:To study the relation between corticosteroid-induced ocular hypertension after cataract surgery and the time and frequency of application of corticosteroid, so as to offer certain guidance on the application of corticosteroid after cataract surgery.METHODS: Historical cases from January 2005 to December 2006 of phacoemulsification and intraocular lens (IOL) implantation were collected and analyzed in terms of intraocular pressure after administering corticosteroid.RESULTS: All the 1 459 cases have been treated with glucocorticoid, and 24 cases developed corticosteroid-induced ocular hypertension including 14 male and 10 female cases. Age, high myopia, diabetes, preoperative ocular injury, preoperative uveitis were risky factors leading to corticosteroid-induced ocular hypertension after cataract surgery.CONCLUSION: Incidence for corticosteroid-induced ocular hypertension after phacoemulsification and IOL implantation is 1.36%. Constant and heavy dosage of corticosteroid application is highly risky.