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目的:讨论糖尿病视网膜病变玻璃体手术中应用曲安奈德的并发症。方法:回顾性分析2005-02/2007-01在我院进行的18例玻璃体手术中应用曲安奈德的增生性糖尿病视网膜病变患者手术后的反应。结果:手术后随访3～6(平均4.6)mo,出现高眼压2例;假性前房积脓1例;手术后玻璃体再出血3例;3例视网膜表面及黄斑区曲安奈德沉积。结论:手术后出现的假性前房积脓、视网膜表面及黄斑区曲安奈德沉积等并发症可不用特殊处理,自行吸收。术后出现的高眼压可通过降眼压药物治疗。手术后出现的玻璃体再出血可在药物不能吸收时通过再次手术治疗。
Objective: To discuss the complications of triamcinolone acetonide in vitreous surgery of diabetic retinopathy. Methods: The postoperative response of patients with proliferative diabetic retinopathy using triamcinolone acetonide in 18 vitrectomy performed in our hospital from February 2005 to January 2007 was retrospectively analyzed. Results: All the patients were followed up for 3 to 6 months (average 4.6) mo. There were 2 cases of high intraocular pressure (IOP), 1 case of pseudo-anterior hypopyon, 3 cases of vitreous hemorrhage after operation, and 3 cases of retinal surface and triamcinolone acetonide deposition in the macula. CONCLUSIONS: The postoperative pseudo-hyphema, retinal surface and macular degeneration of triamcinolone acetonide deposition and other complications without special treatment, self-absorption. Postoperative ocular hypertension can be treated by intraocular pressure lowering medication. Vitreous hemorrhage after surgery can be treated surgically if the drug is not absorbed.