糖尿病视网膜病变玻璃体视网膜术后高眼压发生率及相关因素

目的探讨糖尿病视网膜病变(DRP)行玻璃体视网膜术后高眼压的发生率及相关因素。方法选择行玻璃体视网膜术治疗的DRP患者986例(1 326眼)为研究对象。分析术后高眼压的发生率,并且对比分析不同类型、不同分级、术前是否合并黄斑脱离、行硅油/C3F8充填、术中行全/补充视网膜光凝、是否晶状体切除患者高眼压发生率的差异。结果 1 326眼术后发生高眼压共计368例(27.8%)。增生型DRP患者术后高眼压发生率(34.0%)显著高于非增生型(17.2%)(χ2=30.648,P=0.000);DRP D级高眼压发生率为34.1%,显著高于B级(20.8%)(χ2=16.348,P=0.001);术前合并黄斑脱离患者高眼压发生率(30.4%)显著高于无黄斑脱离患者(22.7%)(χ2=8.834,P=0.003);术中充填硅油患者(39.1%)显著高于填充C3F8患者(24.0%)(χ2=28.088,P=0.000);术中全视网膜光凝者(32.8%)显著高于补充光凝患者(16.8%)(χ2=21.159,P=0.000);术中行晶状体切除者(40.5%)显著高于无晶状体切除者(25.9%)(χ2=15.532,P=0.000 1)。结论 DRP患者玻璃体视网膜术后高眼压的发生率高,并且与DRP类型、分级、术前合并黄斑脱离、术中填充物、视网膜光凝、晶状体切除等相关。

Incidence rate and related factors of intraocular pressure after vitro-retinal surgery for patients with diabetic retinopathy

Objective To explore the incidence rate and related factors of high intraocular pressure after vitro-retinal surgery for patients with diabetic retinopathy（DRP）. Methods The 986 patients（1 326 eyes） with DRP arranged vitro-retinal surgery were studied. The inci-dence rate of intraocular pressure was analyzed between different types,grades,complicated with macular detachment,filled with silicone oil/C3F8,total/supplementary retina photo-coagulation and crystalline lens excision. Results The incidence rate of high intraocular pressure was 27. 8%（368/1 326）. The incidence rate of high intraocular pressure of proliferative DRP （34. 0%） was obviously higher than non-pro-liferative DRP （17. 2%）（χ2 =30. 648,P=0. 000）,and higher in DRP D grade than B grade（34. 1%,20. 8%）（χ2=8. 834,P=0. 003）. The incidence rate of high intraocular pressure of proliferative DRP （34. 0%） was obviously higher in patients complicated with macular de-tachment（30. 4%,22. 7%）（χ2 =8. 834,P=0. 0030）. The incidence rate of patients filled with silicone oil/C3F8（39. 1%,24. 0%）＆nbsp;（χ2 =28. 088,P=0. 000）,total/supplementary retina photo-coagulation（32. 8%,16. 8%） （χ2 =21. 159,P=0. 000）,with/without crystal-line lens excision （40. 5%,25. 9%）（χ2=15. 532,P=0. 0001）was different obviously. Conclusion There is a high incidence rate and re-lated factors of high intraocular pressure after vitro-retinal surgery for patients with diabetic retinopathy,and it is related to different DRP types,grades,complicated with macular detachment,filled with silicone oil/C3F8,total/supplementary retina photo-coagulation,crystalline lens excision.