在患有伪脱皮的患者的白内障手术期间,发突发症的危险因素
Ortal Buhbut1, Asaf Achiron2, Boris Knyazer3
1Soroka University Medical Center, The Faculty of Health Sciences, Ben Gurion University of the Negev, Yitzhak Rager Boulevard 151, Beer-Sheva, Israel. Ortalbu17@gmail.com.
International ophthalmology
|September 24, 2023
概括
手术前眼内压力升高 (IOP) 和后段可见性差是伪剥皮 (PXF) 白内障手术患者惊喜发的主要预测因素. 这些因素表明区域不稳定性和手术期间并发症的风险.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 患者安全 患者安全
背景情况:
- 伪脱皮综合征 (PXF) 是白内障手术期间并发症的常见原因.
- 区域不稳定是PXF患者手术后并发症的已知危险因素.
- 突发性法科多尼斯会导致显著的手术挑战.
研究的目的:
- 在接受白内障手术的PXF患者中,确定与惊喜发症相关的术前参数.
- 评估各种临床和生物识别因子在这个队列中的手术内并发症的预测价值.
- 为了提高PXF白内障手术中的手术规划和患者安全.
主要方法:
- 对127名接受白内障手术的PXF患者 (2013-2018) 的回顾性图表审查.
- 术前参数的比较,包括人口统计,生物识别,IOP,瞳孔大小和白内障密度在患有和没有惊喜的患者之间.
- 二元逻辑回归分析以确定惊喜法科多尼斯的预测因素.
主要成果:
- 在8.2%的PXF病例中发生了惊喜性法科多尼斯.
- 经历惊喜法科多尼斯的患者在手术前眼内压 (IOP) 显著上升 (23.0 mmHg对比14.9 mmHg,p<0.001).
- 由于的原因,B扫描使用率更高在惊喜法科多内西斯组 (40%对12.8%,p=0.04) 观察到.
- 多变量分析确定了基线IOP作为惊喜法科多尼斯的唯一显著预测因子 (OR1.22,p=0.014).
结论:
- 在PXF白内障手术中,手术前升高的内血压是意外发的重要危险因素.
- 后部段的可见性差,需要使用B扫描,也与风险增加有关.
- 这些发现强调了手术前对IOP和后部段可视化的评估对于PXF患者管理区域不稳定的重要性.
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