Silicone oil-induced secondary glaucoma

Insight - the Journal of the American Society of Ophthalmic Registered Nurses Pub Date : 2000-04-01 Epub Date: 2002-05-25 DOI:10.1067/min.2000.104917

Lily P. Orticio RN, MSN, MBA

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引用次数: 1

Abstract

Silicone oil intraocular tamponade is a widely accepted procedure in the management of complex retinal detachments caused by proliferative diabetic vitreoretinopathy. Silicone oil has a high surface tension that mechanically limits fibrovascular reproliferation resulting in successful retinal reattachments. However, postoperative secondary glaucoma is a relatively frequent complication that may require intensive nursing management focused at intraocular pressure monitoring, positioning compliance, pain management, fluid and electrolyte balance, and glucose control. This article presents the postoperative clinical course of a 51-year-old man with diabetes and recurrent proliferative diabetic vitreoretinopathy who developed secondary glaucoma after silicone oil injection with a dramatic rise in intraocular pressure on the first postoperative day. Nursing management concurrent with medical and surgical management is discussed and the necessary nursing plan of care is identified. (Insight - the Journal of the American Society of Ophthalmic Registered Nurses 2000;25:44–9.)

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硅油致继发性青光眼

硅油眼内填塞是一种被广泛接受的治疗由增生性糖尿病性玻璃体视网膜病变引起的复杂视网膜脱离的方法。硅油具有很高的表面张力，机械地限制了纤维血管的增殖，导致视网膜再植成功。然而，术后继发性青光眼是一种相对常见的并发症，可能需要强化护理管理，重点是眼压监测、体位依从性、疼痛管理、体液和电解质平衡以及血糖控制。本文报道一例51岁男性糖尿病合并复发性增生性糖尿病性玻璃体视网膜病变患者，术后第一天眼压急剧升高，硅油注射后发生继发性青光眼。讨论了与内科和外科管理并行的护理管理，并确定了必要的护理计划。(Insight -美国眼科注册护士学会杂志2000;25:44-9)

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Insight - the Journal of the American Society of Ophthalmic Registered Nurses

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