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在患有主角关闭疾病的患者的白内障提取过程中鉴定出区域性白内障
Hui Zhang1, Ye Zhang1, Shuo Zhang1
1Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University.
Journal of glaucoma
|June 13, 2023
概括
在初级角关闭性疾病 (PACD) 中,特别是急性角关闭 (AAC) 中,区域病变是常见的. 较浅的前腔深度和较厚的透镜增加了这些患者的区域病变风险.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 白内障手术 手术 白内障手术
背景情况:
- 影响眼睛透镜支结构的状况 - - 区域病变 - - 经常被观察到,但在患有初级角关闭性疾病 (PACD) 的患者中经常被忽视.
- 这种情况在急性角关闭 (AAC) 病例中尤为普遍,这是PACD的严重形式.
研究的目的:
- 为了确定PACD频谱内的手术内区域病变的患病率.
- 为了确定与PACD患者在手术期间发生区域病变相关的临床风险因素.
主要方法:
- 对88名经过双边白内障提取的PACD患者进行了回顾性分析.
- 诊断的Zonulopathy是基于囊袋不稳定的手术内观察.
- 使用多变量逻辑回归来确定区域病变的独立风险因素,分析PACD亚型 (AAC,PACG,PAC,PACS).
主要成果:
- 区域病变的总体患病率在PACD患者中为45.5%,在眼睛中为30.1%.
- 患病率因亚型而异,在AAC中最高 (69.0%),其次是初级角闭眼光眼 (PACG) (39.1%),以及初级角闭眼光眼 (PAC) /初级角闭眼疑似病 (PACS) (15.3%).
- 急性角关闭 (AAC) 是一个独立的风险因素 (OR=0.340). 较浅的前腔深度和较大的透镜厚度与增加的区域病变风险显著相关 (分别P=0.031和P=0.036).
结论:
- 区域病变是一种常见的手术内发现,主要是视角关闭疾病,特别是急性视角关闭病例.
- 前腔室深度浅和透镜厚度增加等因素与较高的区域病变发病率有关.
- 这些发现凸显了在接受白内障手术的PACD患者中识别和管理区域病变的重要性.
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