胡春明，谢汉平，汪辉，罗启惠(第三军医大学西南-第三军医大学学报.DOC

有晶体眼后房型人工晶体植入术后稳定期高眼压发生的相关因素分析 胡春明，谢汉平，汪　辉，罗启惠　（400038重庆，第三军医大学西南医院眼科） [摘要]目的 探讨有晶体眼后房型人工晶体（implantable collamer lensICL）植入术后稳定期发生高眼压的相关影响因素及治疗效果。方法　收集2011年1～12月在我院行ICL植入术的79例（155眼）高度近视患者的临床资料，其中男性例，女性例，年龄18～46（2.84±6.54）岁对术后1 d6个月随访包括眼压、裸眼远近视力、最佳矫正视力、屈光度（等效球镜值）、裂隙灯显微镜检查、房角镜检查、角膜内皮细胞计数、中央前房深度（cenrtal anterior chamber depthACD）、晶体厚度、眼轴长度、术后拱高及小梁虹膜夹角（trabeculariris angle，TIA）等结果　ICL植入术后出现稳定期高眼压8例6/155），正常眼压71例（139眼）药物控制87.5%患者（14眼）良好12.5%患者（2眼）欠佳手术治疗。手术前后ACDTIA与术后稳定期高眼压发生P0.05），TIA是稳定期高眼压发生的独立影响因素。稳定期高眼压患者眼压和最佳矫正视力（BCVA）（26.13±3.56）mmHg0.69±0.20）]与治疗后1周（19.98±2.51）mmHg0.80±0.19）]、随访结束时（17.58±2.30）mmHg0.84±0.19）]比较差异P0.05，P0.01）。结论　ICL植入术稳定期高眼压的发生可能与植入的人工晶体与患眼匹配度欠佳致长期慢性炎症有关。高度近视；后房型人工晶体植入术；高眼压 Analysis on influencing factors of high intraocular pressure during stability after implantable collamer lens Hu Chun-ming， Xie Han-ping，Wang Hui，Luo Qi-hui （Southwest eye Hospital ， Third Military Medical University ， Chongqing 400038 ， China） Abstract] Objective To investigate influencing factors and the rapeutic efficacy of high intraocular pressure （ IOP） during stability after implantable collamer lens（ICL）. MethodsClinical data of 79 ICL patients （ 155 eyes ） were analyzed retrospectively，18～46（2.84±6.54）who were followed-up within 6 months post-operatively. IOP,uncorrected visual acuity,best corrected visual acuity,refractve diopter,slit lamp examination, gonioscope,coneal endocellion,cenrtal anterior chamber depth（ACD）lens thickness,axial length,vault and trabecular-iris angle were observed and analyzed. Results 　Eight patients （ 16 eyes ） experienced high IOP during stability post-operatively with an incidence of 10.32% （6/155）. Non-high IOP after ICL was found in 71 patients（139 eyes）87.5 percent（14 eyes） was treated good with drops but surgery was required to 12.5 percent（2 eyes） which couldnt be controlled with drops.pre-operation and post-operation）、vault and TIA post-operation are closely related to high IOP during stability after ICL（P0.05）. Post-operative T