方法：对2009-01/2011-01在我院行后部玻璃体切除术联合眼内充填物的198例198眼患者进行术后眼压的测量，对出现高眼压的患者进行观察和分析。

结果：在198例患者中，术后早期高眼压53例，发生率为26.8%，糖尿病性视网膜病变、视网膜血管性疾病、黄斑裂孔、孔源性视网膜脱离等病种之间发生率相近，差异无统计学意义(P>0.05)。硅油充填和惰性气体充填术后早期高眼压发生率相近，差异无统计学意义(P>0.05)。是否联合白内障摘除联合人工晶状体植入术后早期高眼压发生率不同，差异有统计学意义(P<0.05)。

结论：玻璃体切除联合眼内充填术后高眼压的发生率与原发病和填充物种类关系不大，与手术方式有关。部分气体释放和前房放液为有效的降眼压办法。

METHODS: The visual acuity of 198 eyes after posterior vitrectomy combined with intraocular plombagefrom January 2009 to January 2011 in our hospital was monitored. Cases with intraocular hypertension were observed and analyzed.

RESULTS: Among the 198 cases, there were 53 cases with early postoperative intraocular hypertension, showing that the incidence was 26.8%. The incidence was similar among DR, rentina vascular diseases, macular hole and rhegmatogenous retinal detachment, with no statistic significance(P>0.05). The incidence rates were also similar between the silicone oil plombage group and inert gas plombage group, with no statistic significance(P>0.05). But the incidence rates were different between the groups with and without cataract extraction and IOL implantation, showing statistic significance(P<0.05).

CONCLUSION: The incidence of intraocular hypertension after vitrectomy combined with intraocular plombage has little to do with the protopathy and the filler, but is related with the surgical method. Releasing partial gas or anterior chabeer aqueous humbor fluid is an effective mean to lower IOP.