Controlling early postoperative elevated intraocular pressure: the first reason cited for postoperative inpatient hospitalization after diabetic vitrectomy

部分增生性糖尿病视网膜病变(proliferative diabetic retinopathy,PDR)患者由于疾病的复杂性,在玻璃体切割术后需住院治疗.术后早期眼压升高的治疗是术后住院时间延长的首要原因.研究PDR术后早期眼压升高的发生时间、发生率有利于术后及时恰当地监测患者眼压情况.PDR术后早期眼压升高的危险因素包括术前视网膜脱离、术前眼压水平高、20G玻璃体切割头的应用、术中激光光凝斑数量多、术中填充物(膨胀气体及硅油)的使用、术中去除纤维血管膜、联合手术、术后炎性反应重以及术后玻璃体积血.根据以上危险因素可对PDR患者术后早期眼压情况及术后住院时间进行评估,并根据不同病因给予个体化治疗.Due to the complexity of proliferative diabetic retinopathy (PDR),some patients need to still stay in hospital after vitrectomy.Controlling the elevation of early postoperative intraocular pressure (IOP) is the first reason for the prolonged hospitalization.To investigate the occurrence time and incidence would contribute to monitoring the postoperative IOP after diabetic vitrectomy in time.The risk factors of postoperative elevated IOP are combined tractional retinal detachment,preoperative high IOP,20-gauge vitrectomy,the number of laser photocoagulation,use of expanding gas and silicone oil tamponade,fibrovascular frond removal,combined surgery,postoperative severe inflammation and postoperative vitreous hemorrhage.Through analyzing these factors,doctors could evaluate the occurrence of the early postoperative elevated IOP caused by PDR vitrectomy and administer individualized treatment,and also forecast the postoperative duration of hospitalization.05325-3293