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为防止准分子激光角膜切削术后近视度数回退,术后局部滴强地松龙6个月。经对皮质类固醇性高眼压和青光眼进行了分析结果表明,1628只术眼皮质类固醇性高眼压(≥2.933kPa)术后1个月和3个月的发生率分别为9.89%和15.05%,3月高眼压的发生率高于1月高眼压的发生率,差异有显著性;男性患者激素升压反应比女性患者明显,1个月时分别为16.64%和5.54%;3个月时分别为18.05%和13.12%;高眼压的发生与原屈光状态(≤-2.90D和≥-3.00D)无关。皮质类固醇性青光眼5例(0.30%)。同时对准分子激光角膜切削术后皮质类固醇性高眼压的防治进行了讨论。
In order to prevent the excimer laser corneal myopia receding after surgery, local drops of prednisolone 6 months. The analysis of corticosteroid-induced intraocular hypertension and glaucoma showed that the incidence of corticosteroid-induced intraocular hypertension (≥2.933 kPa) at 1 month and 3 months after operation was 9.89% And 15.05% respectively. The incidence of ocular hypertension in March was higher than that of ocular hypertension in January. There was a significant difference between the two groups in the incidence of elevated intraocular pressure (IOP) in January. % And 5.54% respectively. The incidence of ocular hypertension was 18.05% and 13.12% respectively at 3 months. The incidence of ocular hypertension was not related to the original refractive state (≤-2.90D and ≥-3.00D). Corticosteroid glaucoma in 5 cases (0.30%). At the same time, we aimed at the prevention and treatment of corticosteroid-induced intraocular hypertension after molecular laser keratomileusis.