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人工水晶體與眼壓的關係

Effect of the Intraocular Lens on the Intraocular Pressure

摘要


報告1036個接受白內障摘除同時裝置人工水晶體的病例,追踪期限由3個月至3年。術前無青光眼者佔1027例(屬A組),術前有青光眼者佔9例(屬B組)。A組中有104例,於術後發生暫時性眼壓升高;11例於術後發生持續性眼壓昇高而需長期使用降眼壓藥物或手術治療。B組全部術後眼壓正常。

關鍵字

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並列摘要


From July, 1980 to June 1983, 1036 eyes have underwent cataract extraction with intraocular lens implantation. Among the 1027 eyes that did not have glaucoma before surgery, 104 eyes (10%) had transient postoperative pressure elevation (IOP>25 mm Hg); 11 eyes (1%) developed permanent postoperative glaucoma including, 1 iridocapsular lens implant with persistent iritis and 10 anterior chamber lens implant, with 5 pupillary block, 2 peripheral anterior synechia and 3 idiopathic in origin. Among the 9 eyes that have pre-existing glaucoma, 7 had previous filtering operation, 1 had previous peripheral iridectomy and one had ocular hypertension. All have underwent ECCE with posterior lens implant, yet no eye developed postoperative pressure elevation.

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