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准分子激光原位角膜磨镶术后皮质类固醇性高眼压研究进展

http://www.cnophol.com 2008-11-25 15:37:07 中华眼科在线

    5  治疗

    一旦诊断明确,首先是停用皮质类固醇激素药物,然后根据眼压高低程度选择局部滴用降眼压药物(如盐酸塞吗洛尔等),口服眼压药物(如醋氮酰胺等)或静脉注射高渗剂(如甘露醇等),在眼压控制后再逐渐减量、停用降眼压药物。停药时要首先停用高渗剂,然后是口服降眼压药物,最后停用滴眼液,逐渐减量直至停药。

    6  展望

        LASIK手术后应用皮质类固醇激素造成的高眼压临床表现各异,易漏诊误诊。地塞米松滴眼液具有强大的抗炎作用,为LASIK手术后常用滴眼液之一,但其引起高眼压的副作用不可忽视,应引起高度重视。另外,对LASIK手术后皮质类固醇性高眼压进行分型有助于增加对该病的认识,为治疗提供帮助。引起LASIK术后皮质类固醇性高眼压不同临床表现的原因尚不清楚,是否与眼压的高低或是眼压增高的速度有关或是个体差异对高眼压的反应不同尚需深入研究。

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