白内障术前应用不同浓度聚维酮碘溶液的不良反应观察

目的:比较白内障术前应用不同浓度聚维酮碘溶液结膜囊冲洗,术后眼内炎和不良反应发生率,以评价50 g/L浓度聚维酮碘溶液预防白内障术后眼内炎的有效性、安全性。 方法:将500例白内障手术治疗患者分为50 g/L聚维酮碘组和25 g/L聚维酮碘组,术中、术后观察眼部体征并询问患者主观不适。 结果:50 g/L聚维酮碘组眼部刺激症状较25 g/L聚维酮碘组明显,但角膜上皮脱失情况和眼内炎的发生两组无区别。 结论:术前结膜囊内使用50 g/L聚维酮碘溶液是一种有效、安全的预防白内障术后眼内炎的措施。...

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Bibliographic Details
Published in国际眼科杂志 Vol. 13; no. 12; pp. 2528 - 2529
Main Author 吴善君 周宏健 姚红艳 邬一楠 王莹
Format Journal Article
LanguageChinese
Published 315040,中国浙江省宁波市眼科医院 2013
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Summary:目的:比较白内障术前应用不同浓度聚维酮碘溶液结膜囊冲洗,术后眼内炎和不良反应发生率,以评价50 g/L浓度聚维酮碘溶液预防白内障术后眼内炎的有效性、安全性。 方法:将500例白内障手术治疗患者分为50 g/L聚维酮碘组和25 g/L聚维酮碘组,术中、术后观察眼部体征并询问患者主观不适。 结果:50 g/L聚维酮碘组眼部刺激症状较25 g/L聚维酮碘组明显,但角膜上皮脱失情况和眼内炎的发生两组无区别。 结论:术前结膜囊内使用50 g/L聚维酮碘溶液是一种有效、安全的预防白内障术后眼内炎的措施。
Bibliography:cataract; surgery; endophthalmitis;povidone-iodine
61-1419/R
AIM: To evaluate the efficiency and safety of 50g/L povidone-iodine solution in preventing postoperative endophthalmitis through comparing the incidence of postoperative endophthalmitis and adverse reactions after conjunctival sac washing with povidone -iodine of different concentrations. METHODS: Totally 500 cataract patients were divided into 50g/L povidone-iodine group and 25g/L povidone-iodine group.All the operated eyes were observed during and after surgery.The patients'subjective discomfort was inquired and their signs of eyes were recorded. RESULTS: The eye irritation of 50g/L povidone-iodine group was more significant than 25g/L povidone-iodine group.No significant difference in the corneal epithelial loss and endophthalmitis was observed between two groups. CONCLUSION: Conjunctival sac washing with 50g/L povidone-iodine is an effective and safe measure to prevent endophthalmitis after cataract surgery.
Shan-Jun Wu, Hong-Jian Zhou, Hong-Yan Ya
ISSN:1672-5123
DOI:10.3980/j.issn.1672-5123.2013.12.50