脉络膜脱离型视网膜脱离手术治疗前后眼压及眼轴改变的相关因素分析-眼科学视网膜病专业毕业论文.docxVIP

硕士学位论文 硕士学位论文 中文摘要 2．确诊时，30例患者对侧眼眼轴均数为(27．36-a：2．41)ram，患眼 眼轴为(25．26士2．29)mm。术前用糖皮质激素治疗7～10天后，患眼 眼轴较前无明显改变(PO。05)。常规视网膜手术组随访期内各时相点 的眼轴均比术前一天延长，差异有极显著统计学意义(PO．01)；术 后一周至术后六月间眼轴在正常值范围内稍有缩短(Po．01)。玻璃 体视网膜手术组在硅油取出术后随访期内眼轴均比复位术前一天显 著延长(P0．01)；硅油取出术后一周至术后六月Nt艮轴无明显改变 (PO．05)。 3．脉脱型视网膜脱离患者在确诊时双眼眼压差值与接受治疗前 病程呈直线正相关(r=O．833，PO．05)。 结论： 1．脉络膜脱离型视网膜脱离患者的患眼眼压降低、眼轴缩短。 2．发病时间越长，患眼较对侧眼眼压越低。 3．术前应用糖皮质激素，可改善病情，提升患眼眼压。 4．手术复位成功后，患眼眼压显著升高、眼轴明显延长。术后一 个月内，眼压在正常值范围内稍有降低，一个月后趋于稳定。常规视 网膜复位术后六个月内，眼轴长度在正常值范围内稍有缩短，在硅油 取出术后六个月内，眼轴长度无明显改变。 关键词： 脉络膜脱离型视网膜脱离，眼压，眼轴，玻璃体切割 术，巩膜环扎外加压术 II 硕士学位论文 硕士学位论文 英文摘要 Abstract Obieetive：To measure intraocular pressure OoP)and axis oculi 011 choriodal detachment associated with retinal detachment by different opertations preoperatively and postoperatively．To approach the change of IOP and axis oculi on choriodal detachment associated with retinal detachment eyes whose retinas were successfully replaced，and to analyze the relationship between the IOP、axis oculi and the course of disease． Method：30 patients(30 eyes)with choriodal detachmem associated wim retinal detachment and whose retina were successful replaced in the first operation were collected from July,2005 to July，2006 in our hospital，male 13，female 17．Grouping：①According to operation technique，the 30 patients were divided 2 groups：routine operation of retinal replacement(operation of scleral encircling and buckling)group； vitreous bodys operation of retinal replacement(operation of vitreetomy and scleral encircling and buckling)group．②According to the course of disease before treatments，the 30 patients were divided 3 groups：1 month、 2 months and 3 months．10P and axis oculi were measured with Goldmann tonometer and A SCan at the moment of diagnosis、1 day preopt瀚矗vely with