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本文探讨９５人１０４只眼Ｎｄ：ＹＡＧ激光治疗后发膜性白内障术后眼压升高的原因。以激光前后眼压升高差值≥５ｍｍＨｇ为标准，眼压差值≥５ｍｍＨｇ组与＜５ｍｍＨｇ组两组总能量分别是６１５．４１±１１２９．８０ｍＪ和２０３．７１±３４２．６６ｍＪ，经统计学处理有显著差异。我们将术前眼压分为≥２０ｍｍＨｇ组与＜２０ｍｍＨｇ两组，术前眼压≥２０ｍｍＨｇ组术后眼压升高≥５ｍｍＨｇ占７３％，术前眼压＜２０ｍｍＨｇ组术后眼压升高≥５ｍｍＨｇ的占４４％，两组比较有差异。结论：①术中能量的大小是术后眼压升高的主要因素，击射时总能量大，术后眼压升高明显。②术前眼压高低也可影响术后眼压。提示我们在击射时选择适当的能量，降低术前眼压，控制术后炎症则可有效地减少术后眼压升高的发生
This article investigates the causes of elevated intraocular pressure after membrane cataract surgery in 104 eyes of 95 patients treated with Nd: YAG laser. The difference of intraocular pressure before and after the laser ≥ 5mmHg as the standard, intraocular pressure difference ≥ 5mmHg group and <5mmHg group total energy were 615.41 ± 1129.80mJ and 203.71 ± 342.66mJ, statistically There are significant differences in treatment. We preoperative intraocular pressure were divided into ≥ 20mmHg group and <20mmHg two groups, preoperative intraocular pressure ≥ 20mmHg group postoperative intraocular pressure increased ≥ 5mmHg accounted for 73%, preoperative intraocular pressure <20mmHg group postoperative intraocular pressure increased ≥ 5mmHg accounted for 44%, there are differences between the two groups. Conclusions: ① The intraoperative energy is the main factor of postoperative intraocular pressure (IOP) elevation. The total energy of the shot is large, and the postoperative IOP is obviously increased. ② preoperative intraocular pressure can also affect postoperative intraocular pressure. Suggest that we choose the appropriate energy in the shot, reducing preoperative intraocular pressure, postoperative control of inflammation can effectively reduce the occurrence of postoperative IOP