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为评价非接触式眼压计和Schφtz氏眼压计对准分子激光角膜切削术后眼的眼压测量结果和价值,用准分子激光角膜切削术治疗正常眼压的近视患者62例120只眼,术前用非接触式眼压计测量眼压,术后应用0.1%氟甲龙(Fluorometholone)点眼四周,术后一月复诊时,分别用非接触式眼压计和Schiφtz氏眼压计测量眼压。结果:术前眼压非接触式测量平均16.62±2.61mmHg,术后眼压Schiφtz氏测量平均18.76±3.43mmHg,非接触式测量平均11.29±2.80mmHg,二者有显著差异性(P<0.001),术后异常眼压者Schiφtz氏检查发现27例,非接触式眼压计未发现,对异常眼压的诊断有显著差异性(P<0.005)。结论:激光切削是导致术后两种测量方法结果差异的主要原因,使用非接触式眼压计进行准分子激光角膜切削术后眼压的测量并按传统正常值衡量是不准确的,否则会延误类固醇性青光眼的诊断。
To evaluate the intraocular pressure measurements and the value of non-contact tonometer and SchφT’s tonometer in patients who have been treated with molecular laser keratomileusis, 120 eyes of 62 eyes with normal intraocular pressure were treated with excimer laser keratomileusis , Intraocular pressure (IOP) was measured preoperatively with a non-contact tonometer, postoperatively with Fluorometholone 0.1% for four weeks and non-contact tonometer and Schiφtz intraocular pressure Measurement of intraocular pressure. Results: The preoperative non-contact intraocular pressure non-contact measurement average 16.62 ± 2.61mmHg, postoperative intraocular pressure Schiφtz’s average of 18.76 ± 3.43mmHg, non-contact measurement of an average of 11.29 ± 2.80mmHg, both There were significant differences (P <0.001). There were 27 cases of abnormal intraocular pressure (IOP) by Schiφtz’s test, non-contact tonometer was not found, and the diagnosis of abnormal IOP was significantly different (P <0.005 ). CONCLUSIONS: Laser ablation is the main cause of postoperative differences between the results of the two measurement methods. It is inaccurate to measure intraocular pressure using a non-contact tonometer for excimer laser corneal incision, as measured by traditional normal values, otherwise Delayed steroid-induced glaucoma diagnosis.