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报道准分子激光角膜切削术治疗近视,术后常规使用皮质类固醇点眼持续4m,引起皮质类固醇性高眼压的发生情况。随访415例(610眼),发现皮质类固醇性高眼压82眼,占用药眼的13.4%。其中点用0.5%醋酸可的松组250眼,用药4m仅发现2眼占0.8%;而用0.1%地塞米松组360眼,有80眼在用药16~70d出现眼压升高占22.2%。超高屈光度组中高眼压的发生率达63.35,明显高于其他屈光度组。本组患者眼压升高与伴随症状不相对应,无症状者达48眼(占58.5%),因此容易被忽视。提示对准分子激光角膜切削术后局部使用皮质激素者,应加强对眼压的观察和随访。
Reported excimer laser keratomileusis for the treatment of myopia, postoperative routine use of corticosteroid point continued 4m, causing corticosteroid-induced ocular hypertension occurred. A total of 415 eyes (610 eyes) were followed up and found that 82 eyes had high intraocular pressure of corticosteroid, accounting for 13.4% of eyes. Among them, 250 eyes were treated with 0.5% cortisone acetate and only 2 eyes were found 0.8% with 4m medicine. In 360 eyes with 0.1% dexamethasone group, 80 eyes appeared in 16 ~ 70 days after treatment Pressure increased by 22.2%. The incidence of intraocular hypertension in ultra-high power group was 63.35, which was significantly higher than that of other groups. This group of patients with elevated intraocular pressure and symptoms do not correspond to asymptomatic 48 eyes (58.5%), so easily overlooked. Tips for local use of molecular laser keratotomy after corticosteroids who should strengthen the observation and follow-up of intraocular pressure.