鼻成形术后眼压变化：前后横断面研究。

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Health Science Reports Pub Date : 2025-01-22 DOI:10.1002/hsr2.70389

Ali Goljanian Tabrizi, Matin Ghazizadeh, Atiyeh Zahedi

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引用次数: 0

摘要

背景和目的：鼻整形术是一种流行的整容手术，通常涉及侧截骨，这可能导致眼部并发症，如水肿和瘀斑。一个潜在的并发症是术后眼压升高。本研究旨在探讨鼻整形术中外侧截骨术对患者IOP的影响。方法：本前瞻性横断面研究评估96例鼻成形术中侧侧截骨术对IOP的影响。术前眼科检查包括最佳矫正视力、裂隙灯生物显微镜、Goldmann眼压计和眼底扩张镜检查。在基线、手术期间、术后第一天、术后第7天取下鼻针后和术后第30天使用Goldmann眼压计测量每只眼睛的IOP 3次。记录各时间点平均眼压。结果：研究发现术后1、7、30天IOP无明显变化（p = 0.194）。此外，手术类型对眼压无显著影响（p = 0.622）。结论：侧截骨鼻成形术治疗眼压是安全的。然而，在鼻整形过程中监测眼压是可取的。

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Intraocular Pressure Changes After Rhinoplasty: A Before-and-After Cross-Sectional Study

Background and Aims

Rhinoplasty, a prevalent cosmetic surgery, often involves lateral osteotomy, which can lead to ocular complications such as edema and ecchymosis. A potential complication is increased intraocular pressure (IOP) postoperatively. This study aims to investigate the impact of lateral osteotomy during rhinoplasty on IOP in patients.

Methods

This prospective before-and-after cross-sectional study evaluated the effect of lateral osteotomy during rhinoplasty on IOP in 96 patients. Preoperative ophthalmologic examinations included best-corrected visual acuity, slit lamp biomicroscopy, Goldmann tonometry, and dilated fundoscopy. IOP measurements were taken three times per eye at baseline, during surgery, on the first postoperative day, after nasal pin removal on the seventh postoperative day, and on the thirtieth postoperative day using a Goldmann tonometer. The mean IOP was recorded at each time point.

Results

The study found no significant changes in IOP at 1, 7, or 30 days postsurgery (p = 0.194). Additionally, the type of surgery did not significantly affect ocular internal pressure (p = 0.622).