风险因素影响视觉结果在白内障手术后下落的核后影响白内障手术的风险因素
Jeremy Youwei Hu1,2,3, Seng-Ei Ti1,4,5,6, Soon-Phaik Chee7,8,9,10
1Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, 10 Kent Ridge Crescent Singapore, 119260, Singapore, Singapore.
Eye (London, England)
|August 4, 2023
概括
在发泡乳化手术期间,丢弃的核发生在0.17%的病例中. 大多数患者获得了良好的视力,但年龄,缺少眼内透镜和并发症影响了结果.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 视网膜外科手术 视网膜外科手术
背景情况:
- 在发酵过程中脱落的核是已知的并发症.
- 了解视觉结果和风险因素对于患者管理至关重要.
研究的目的:
- 描述在化过程中眼睛中出现的视觉结果,眼睛中核掉落.
- 为了确定影响视觉成功的风险因素,在丢弃了核管理后.
主要方法:
- 从2001年1月到2016年12月,回顾从2001年1月到2016年12月放弃核病例的回顾性图表审查.
- 分析包括患者人口统计学,外科医生经验,帕斯普拉纳视切除术 (PPV) 的时间和并发症.
- 多变量逻辑回归确定了视力成功的风险因素 (最佳校正视力敏度≥20/40).
主要成果:
- 脱落核的发生率为0.17% (292例).
- 85.2%的眼睛在最终审查时达到20/40或更好的最佳校正视敏度.
- 视力不佳的风险因素包括年龄>70岁,没有眼内透镜 (IOL) 植入物以及主要并发症.
结论:
- 掉落核的总体发生率很低 (0.17%),视觉成功率很高 (85.2%).
- 患者的年龄,内腔镜植入以及重大并发症的存在显著影响视觉预后.
- 通过帕斯普拉纳视切除术 (PPV) 及时管理是必不可少的,尽管时间 (当天与延迟) 没有影响最终的视觉成功.
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