面朝下的玻璃体切割术后患者的前房改变:一项前瞻性纵向研究。

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Gozde Sahın Vural, Yurdagul Gırgın, Yucel Yıgıt, Eyyup Karahan
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引用次数: 0

摘要

目的:比较玻璃体切割手术(PPV)后面朝下位患者的同侧眼前房(AC)的变化。方法:纳入双侧晶状体缺失的PPV患者,并因眼内填塞建议俯卧位至少3天。分别于术前、俯卧位第1天、俯卧位最后一天和第1个月分别记录双眼中央前房深度(ACD)、鼻、颞象限ACD和前房角(ACA)及眼内压(IOP)等AC特性。结果:51例患者51眼,平均年龄60.3±13.5岁。平均IOP在第1天显著升高(术前IOP 14.9±3.5 mmHg,第1天IOP 16.4±3.7 mmHg (p = 0.021))。所有象限的平均ACD在第1天和最后一个面朝下的一天显著变窄(p)结论:ppv手术患者的同侧眼面朝下可能导致前房明显变窄,导致IOP峰值。应仔细观察患者是否有闭角型青光眼的可能。本研究已获机构审查委员会批准(注册编号和日期:2021/60和24.02.2021)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anterior chamber alterations in fellow eyes of face-down positioned patients after pars plana vitrectomy: a prospective longitudinal study.

Purpose: To compare the anterior chamber (AC) changes in fellow eyes of patients who were directed to a face-down position after pars plana vitrectomy (PPV).

Methods: The bilaterally phakic patients who had PPV, and were advised prone position due to intraocular tamponade for at least three days were included. The AC properties such as central anterior chamber depth (ACD), and ACD and anterior chamber angle (ACA) in nasal, and temporal quadrants and the intraocular pressure (IOP) were recorded at the preoperative visit, 1st-day, last day of prone position, and 1st-month visits in both eyes.

Results: The study included 51 eyes of 51 patients with a mean age of 60.3 ± 13.5 years. Mean IOP had a significant increase on 1st day (Preoperative IOP 14.9 ± 3.5 mmHg, and IOP on 1st day: 16.4 ± 3.7 mmHg (p = 0.021)). Mean ACD in all quadrants were significantly narrowed on 1st day and last face-down day (p < 0.001, for all) while ACA in all quadrants were significantly narrowed similarly (p < 0.001, for all parameters) compared to the preoperative period.

Conclusion: The face-down position in fellow eyes of PPV-operated patients may lead to significant anterior chamber narrowing resulting in IOP peaks. The patients should be carefully monitored for possible angle-closure glaucoma. This study was approved by the institutional review board (Registration Number and Date: 2021/60 and 24.02.2021).

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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
451
期刊介绍: International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.
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