Safety of anterior chamber paracentesis using a 30-gauge needle integrated with a specially designed disposable pipette
Safety of anterior chamber paracentesis using a 30-gauge needle integrated with a specially designed disposable pipette
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DOI：
10.1136/bjophthalmol-2016-309650
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发表时间：
2017-05-01
影响因子：
4.1
通讯作者：
Kinoshita, Shigeru
中科院分区：
文献类型：
--
作者：
Kitazawa, Koji;Sotozono, Chie;Kinoshita, Shigeru
目的探讨30号针配合特殊设计的一次性移液管进行前房穿刺的安全性。方法回顾性观察性病例系列研究，于2009年9月至2016年8月在日本京都立医科大学眼科和京都浸信会眼科研究所对301例患者的301只眼进行AC穿刺。在病人仰卧位时，使用30号针头和单手一次性移液管进行AC穿刺，然后评估安全后程序。结果AC穿刺指征为病毒检出（角膜内皮炎、前感染性葡萄膜炎、巨细胞病毒性视网膜炎、急性视网膜坏死）264眼，细菌检出（眼内炎）8眼，恶性肿瘤检出（原发性眼内淋巴瘤、白血病、视网膜母细胞瘤）29眼。无严重并发症，如感染、前房积血、晶状体损伤或严重炎症，包括hypohypyon和AC纤维蛋白形成。结论使用一次性移液管进行AC穿刺是安全的，无严重并发症。
Aims To investigate the safety of anterior chamber (AC) paracentesis using a 30-gauge needle integrated with a specially designed disposable pipette.Methods In this retrospective observational case-series study, AC paracentesis was performed on 301 eyes of 301 patients between September 2009 and August 2016 at the Department of Ophthalmology, Kyoto Prefectural University of Medicine and the Baptist Eye Institute, Kyoto, Japan. AC paracentesis was performed with the patient placed in the supine position using a 30-gauge needle integrated with a disposable pipette with one hand, and the safety post procedure was then evaluated.Results The indications for AC paracentesis were virus detection (ie, corneal endotheliitis, anterior infectious uveitis, cytomegalovirus retinitis and acute retinal necrosis) in 264 eyes, bacterial detection (ie, endophthalmitis) in 8 eyes and malignancy (ie, primary intraocular lymphoma, leukaemia and retinoblastoma) in 29 eyes. No serious complications such as infection, hyphema, lens trauma or severe inflammation including hypopyon and AC fibrin formation were observed.Conclusions Our findings show that AC paracentesis with a disposable pipette is safe with no severe complications.