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《臨床醫(yī)學(xué)畢業(yè)論文準(zhǔn)分子激光角膜屈光術(shù)后皮質(zhì)類固醇性高眼壓的臨床分析》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、XX大學(xué)畢業(yè)論文準(zhǔn)分子激光角膜屈光術(shù)后皮質(zhì)類固醇性高眼壓的臨床分析姓名：2014年6月25日【摘要】目的：探討準(zhǔn)分子激光角膜屈光術(shù)后皮質(zhì)類固醇性高眼壓的發(fā)生率、臨床特點(diǎn)及臨床相關(guān)因素分析，為臨床診療提供幫助。方法：對2005/2009年間我院行準(zhǔn)分子激光原位角膜磨鑲術(shù)(laserinsitukeratomileusis,LASIK)或準(zhǔn)分子激光上皮瓣下角膜磨鑲術(shù)(lasersubepithelialkeratomileusis,LASER)的1580例3160眼術(shù)后皮質(zhì)類固醇性高眼壓患者的病歷進(jìn)行冋顧性分析總結(jié)。結(jié)果:冇38例68眼發(fā)生了高眼壓
2、，其中男20例，女18例，年齡18?33歲，術(shù)前屈光度為4.00?12.00D,發(fā)病時(shí)間為手術(shù)后14?30d,發(fā)生率為2.2%。其中LASIK術(shù)后繼發(fā)皮質(zhì)類固醇性高眼壓的患者16例30眼，LASEK術(shù)后繼發(fā)皮質(zhì)類固醇性高眼壓的患者22例38眼，38例68眼屮均為局部使用氟米龍或百力特滴眼液，用藥時(shí)間20?90d,視力不同程度下降及眼壓升高，個(gè)別患者伴有角膜上皮水腫。停用糖皮質(zhì)激素后根據(jù)眼壓情況采用局部或全身降眼壓藥物治療，所有患者視力恢復(fù)止常，癥狀消失，待眼壓下降后將皮質(zhì)類固醇滴眼液逐漸減量和停藥。結(jié)論：準(zhǔn)分子激光角膜屈光術(shù)后應(yīng)用糖皮質(zhì)激索滴眼
3、液可引起部分患者發(fā)生皮質(zhì)類固醇性高眼壓，應(yīng)根據(jù)不同的臨床特點(diǎn)給予充分的警惕，以免誤診漏診?！娟P(guān)鍵詞】皮質(zhì)類固醇；高眼壓；準(zhǔn)分子激光角膜屈光手術(shù)AbstractAIM:Toanalyseandexploretheincidence,clinicalcharacteristicsandcorrelatedfactorsofsteroidsinducedhighintraocularpressure(IOP)aftercxcimcrlasercornearefractivesurgery,thenmakeahelptorclinic.METHODS:
4、RetrospectivestudyofhighIOPof1580patients(3160eyes)afterlaserinsitukeratomileusis(LASIK)orlasersubepithelialkeratomileusis(LASEK)from2005to2009wasperformedinourhospital.RESULTS:Sixtyeighteyesin38casesofsteroidsinducedhighIOPwererecognized.Theincidenceratewas2.2%.Therewere20m
5、alecasesand18femalecases.Theageofthepatientsrangedfrom1833yearsold.Thesphericalequivalentrefractionwere4.0012.00D.Itoccurredfrom1430daysafterexcimerlasercornearefractivesurgery.Therewere16cases(30eyes）and22cases38eyesoccurredsteroidsinducedhighIOPafterLASIKandLASEK,respectiv
6、ely.FluoromethoIoneorprednisoloneacetateeyedropsweretopicallyusedon68eyes.Thetimewitheyedropswasfrom20daysto90days.Theeyesightof38patients68eyesdecreasedwithdifferentdegreeandintraocularpressureincreased,andsomepatientshadcornealepitheliumedema?Theeyesightofallpatientsrecove
7、redtonormalandthesymptomsofthemdisappearedafterstopingthesteroids,andgivingtopicalorsystemicantiglaucomaagentsaccordingtopatients'intraocularpressure.CONCLUSION:TherewerespecialfeaturesinsteroidsinducedhighIOPaftercxcimcrlasercornearefractivesurgery.Theclinicianshouldpaymore
8、attentiontothesecasestoavoidmisdiagnosis.KEYWORDS:steroids;highintraocularp
