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頁籤選單縮合
題 名 | 0.1%Indocollyre眼藥水使用於白內障手術的效果--臨床效果與螢光計量法之評估 |
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作 者 | 吳俊昇; 王安國; 劉榮宏; 趙勝基; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 31:2 1992.06[民81.06] |
頁 次 | 頁61-67 |
分類號 | 418.2323 |
關鍵詞 | Indocollyre眼藥水; 白內障手術; 螢光計量法; Indomethacin; Cataract; Fluorophotometry; Blood aqueous barrier; Pupil; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究一共收集43位接受單側囊外白內障摘除及後房人工水晶體植入 手術之患者,分別為實驗組與對照組兩群體。實驗組為由術前一天至術後兩週, 手術眼每日均接受0.1Indocollyre眼藥水四次;對照組則不點用0.1Indocollyre眼藥 水,其他治療兩組均完全相同。我們於手術施行當中記錄瞳孔大小的變化且術後 第一天、第一週、及第四週皆追蹤檢查。檢查的項目包括視力、眼壓、裂隙燈鏡 檢以及前房螢光濃度測定。統計結果顯示,在視力、眼壓、角膜水腫、前房反應 等臨床項目,兩組間並未呈現有意義的差異;在手術施行當中瞳孔大小變化方 面,發現0.1Indocollyre眼藥水確能有效地抑制瞳孔縮小;至於前房螢光計量則顯 示,術前就開始使用0.1Indocollyre眼藥水可以保護Blood-aqueous barrier,從而減低 手術後之炎症反應。 |
英文摘要 | Forty three eyes scheduled to receive ECCE and IOL implantation were randomized into two groups, those who received 0.1 Indocollyre (Group 1), and those do not (Group 2). 0.1 Indocollyre were prescribed to tile operated-on eye in the Group I four limes daily from I day preoperatively till 2 week spostoperatively. Rountine subconjunctival and to-pical steroid were also used postoperatively in bothgroups. Pupil size was measured 3 times during theoperation. Clinical grading and fluorophotometricstudy to evaluate the integrity of Blood-Aqueous-Barrier (B.A.B.) were done preoperatively and I day,I week, I month postoperatively. Two eyes were excluded due to vitreous loss and one patient failed to complete the study. The result showed significant less miosis of Group 1 (19 eyes) during the operation than Group 2 (21 eyes). But there is no significant difference in clinical grading between two groups. Fluorophotometric examination revealed significant increased fluorescein concentration in the anterior chamber 1 week and 1 month postoperatively in both groups. Meanwhile, the Percentage Increase ( INC) in fluorescein concentration were significantly greater in Group 1 than Group 2 at 1 week and 1 month postoperatively. This may well reflect that fluorophotometry is much sensitive and quantitative than clinical assessment, and that 0.1 indocollyre could really protect B.A.B. and prevent miosis during the operation. |
本系統中英文摘要資訊取自各篇刊載內容。