在白内障手术中使用托吡卡胺和苯肾上腺素而不使用环戊烯酸扩瞳可降低术后眼压升高

Q4 Medicine

Asian Journal of Ophthalmology Pub Date : 2020-12-31 DOI:10.35119/ASJOO.V17I3.845

Rachel Xuan, K. Ong

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引用次数: 0

摘要

本回顾性研究的目的是评估白内障手术后仅使用tropicamide和phenylephrine而不使用环戊酸盐是否可以降低眼内(IOP)升高。分析了两家外科机构的医疗记录。一个手术机构(队列A)术前联合使用托品酰胺、环戊酸酯和苯肾上腺素，而另一个(队列B)仅使用托品酰胺和苯肾上腺素。在队列A中，63.6% (n = 7)的患者术后眼内IOP较高，而在队列b中，这一比例仅为27.3% (n = 3)。因此，在白内障手术患者术前扩眼方案中，最好不使用环戊酸酯。然而，需要更大样本人群的研究来进一步评估这些结果的意义。

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Using tropicamide and phenylephrine without cyclopentolate for pupil dilation in cataract surgery reduces postoperative intraocular pressure rise

The aim of this retrospective study was to evaluate whether intraocular (IOP) elevation post-cataract surgery can be reduced by using tropicamide and phenylephrine only, without cyclopentolate. Medical records across two surgical facilities were analyzed. One surgical facility (Cohort A) used a combination of tropicamide, cyclopentolate, and phenylephrine preoperatively, while the other (Cohort B) used tropicamide and phenylephrine only. Of patients in Cohort A, 63.6% (n = 7) had a higher IOP in the operated eye, while it was only 27.3% (n = 3) in Cohort B. Therefore, it is preferable to exclude the use of cyclopentolate in the preoperative dilation regimen of patients undergoing cataract surgery. However, a study with a larger sample population is required to further evaluate the significance of these results.

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来源期刊

Asian Journal of Ophthalmology Medicine-Ophthalmology

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期刊介绍： Asian Journal of OPHTHALMOLOGY is the official peer-reviewed journal of the South East Asia Glaucoma Interest Group (SEAGIG) and is indexed in EMBASE/Excerpta Medica. Asian Journal of OPHTHALMOLOGY is published quarterly (four [4] issues per year) by Scientific Communications International Limited. The journal is published on-line only and is distributed free of cost via the SEAGIG website.