[关键词] 有晶体眼人工晶体植入;高度近视;高眼压
[中图分类号] R776 [文献标识码] A [文章编号] 1673-7210(2015)09(c)-0116-04
[Abstract] Objective To summarize the reasons of high intraocular pressure (IOP) after implantable collamer lens implantation, discuss the treatment and prevention method. Methods 108 eyes of 54 patients with high myopia in the Fourth Hospital of Xi'an from January 2011 to May 2014 were selected. All patients were given implantable collamer lens implantation, followed up for 3 months. The naked eye eyesight, best corrected visual acuity, intraocular pressure, slit-lamp examination, fundus examination, high arch of artificial crystal were observed. Results 1 day to 3 months after surgery, all patients' naked eye eyesight achieved or exceeded the preoperative best corrected vision. 1 day after surgery, 13 eyes had intraocular hypertension, IOP ranged from 25-38.8 mmHg. After treatment of local and systemic IOP-lowering medication or anterior chamber puncture, IOP of 10 eyes had returned to normal levels 3 days after surgery, IOP of 2 eyes gradually decreased after stopping using glucocorticoid eye drops at the 7th day after surgery. IOP of 1 patient had bad-controlled 1 month after treatment, given intraocular lens replacement surgery. IOP of all patients returned to normal after 3 months follow-up. 1 month after surgery, ultrasonic biological microscope measure showed that high arch of artificial crystal ranged from 0.5-1.04 mm, artificial lens had not been in contact with the lens itself. After 3 months follow-up, there was no lens opacity. Conclusion There are several reasons for high IOP after implantable collamer lens implantation. According to the etiology give corresponding treatment, intraocular pressure of patients will be back to normal
[Key words] Implantable collamer lens implantation; High myopia; High intraocular pressure