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角膜屈光手术后眼压测量的研究进展
李华
王雁 [综述]
作者及单位信息
·
DOI： 10.3760/cma.j.issn.2095-0160.2015.06.018
Advances in intraocular pressure measurement after corneal refractive surgery
Li Hua
Wang Yan
Authors Info & Affiliations
Li Hua
Tianjin Key Laboratory of Ophthalmology and Vision Science, Tianjin Eye Institute, Tianjin Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China
Wang Yan
·
DOI： 10.3760/cma.j.issn.2095-0160.2015.06.018
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摘要

角膜屈光手术后患者需使用较长时间的糖皮质激素以促进伤口愈合，然而糖皮质激素的长期应用可引起眼压升高，甚至导致皮质类固醇性青光眼，因此正确评估患者角膜屈光术后的眼压对于避免术后皮质类固醇性青光眼的漏诊、及时发现角膜屈光术后青光眼患者具有重要的临床意义。评估角膜屈光手术后眼压变化需综合中央角膜厚度、角膜曲率、切削深度、术前眼压及生物力学等因素的影响。就角膜表层切削屈光手术、角膜板层切削屈光手术和全飞秒激光角膜屈光手术后眼压的测量及其影响因素进行综述。

角膜屈光手术;眼压/测量;角膜生物力学
ABSTRACT

After corneal refractive surgery, patients need to use glucocorticoids for a long time to control the wound healing, However, it can cause elevated intraocular pressure, even glucocorticoid-induced glaucoma, therefore properly evaluating patients' postoperative intraocular pressure(IOP) to avoid missing diagnosis of glucocorticoid- induced glaucoma and timely find glaucoma patients after corneal refractive surgery has an important clinical significance.The central corneal thickness(CCT), corneal curvature(CC), ablation depth, preoperative IOP and corneal biomechanics are responsible for IOP changes after corneal refractive surgery.To obtain accurate IOP value after corneal refractive surgery, this article reviewed the IOP measurements and their influential factors after surface, lamellar and all-in-one femtosecond laser refractive surgery.

Refractive surgery, corneal;Intraocular pressure, measurement;Biomechanics, corneal
Wang Yan, Email: mocdef.aabnis.piv3417naygnaw
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引用本文

李华,王雁. 角膜屈光手术后眼压测量的研究进展[J]. 中华实验眼科杂志,2015,33(6)：563-567.

DOI:10.3760/cma.j.issn.2095-0160.2015.06.018

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近年来角膜屈光手术已普遍应用，角膜屈光手术后患者需使用较长时间的糖皮质激素以促进伤口愈合，然而糖皮质激素长期应用可引起眼压升高，甚至导致皮质类固醇性青光眼 [ 1 , 2 ]，这是临床医师极为关注的问题。正确评估患者角膜屈光术后的眼压对于避免术后皮质类固醇性青光眼的漏诊、及时发现角膜屈光术后青光眼患者具有重要的临床意义。目前角膜屈光术后眼压的测量尚无统一标准，而准确的眼压测量对指导术后用药至关重要。就角膜屈光手术后眼压测量的研究现状进行综述。
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备注信息
A
王雁，Email： mocdef.aabnis.piv3417naygnaw
B
国家自然科学基金项目 (81470658)
天津市应用基础与前沿技术研究计划重点项目 (14JCZDJC35900)
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