在患有非眼部自身免疫性疾病的患者中,白内障手术的结果
Rachel A Scott1, Shane A Nau1, Jennifer L Patnaik1
1Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, F731, Aurora, CO, 80045, USA.
Ophthalmology and therapy
|August 21, 2023
概括
对于患有非眼部自身免疫性疾病的患者来说,法可化白内障手术是安全的. 这些患者不会面临并发症或持续前膜炎 (PAU) 的风险增加,也不需要改变药物治疗方案.
科学领域:
- 眼科医生 眼科 眼科
- 免疫学 免疫学 免疫学
背景情况:
- 发酵性白内障提取是一种常见的手术,但患有紫外炎的患者面临更高的并发症风险.
- 在接受白内障手术的非眼部自身免疫性疾病患者中缺乏术后并发症的数据.
研究的目的:
- 为了研究患有非眼部自身免疫性疾病的患者进行法化白内障手术后的术后并发症和持续的前膜炎 (PAU) 的风险.
主要方法:
- 在2014-2019年间,对接受了法化白内障手术的患者进行了回顾性队列研究.
- 确诊非眼部自身免疫性疾病的患者 (按系统性/器官特异性和免疫抑制状态分层) 与对照组进行了比较.
- 收集了术后并发症,最佳校正视敏度 (BCVA),眼内压力 (IOP) 和PAU的数据.
主要成果:
- 来自248名自身免疫性疾病患者的422只眼睛与10,201只对照眼睛进行了比较.
- 与对照组相比,在患有自身免疫性疾病的患者中没有观察到术后并发症或PAU的可能性增加.
- 系统性自身免疫性疾病患者的免疫抑制状态与并发症或PAU增加无关.
结论:
- 非眼部自身免疫性疾病似乎不会增加手术后并发症的风险,包括白内障手术后的视力敏度,内血压升高或PAU.
- 对于这些患者来说,标准的术后药物治疗方案可能足够.
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