眼内透镜交换后视力敏度结果和并发症:一个IRIS®注册表 (视力智能研究) 分析
Hyeck-Soo Son1, David F Chang2, Charles Li3
1Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Ophthalmology, University of Heidelberg, Heidelberg, Baden-Wuerttemberg, Germany.
Ophthalmology
|October 20, 2023
概括
眼内透镜 (IOL) 交换手术改善了大多数患者的视力,但老年,较差的基线视力和某些种族与较差的结果有关. 在IOL更换后,脑膜膜是最常见的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 眼内透镜 (IOL) 交换是解决视力障碍的常见程序.
- 了解非最佳结果和并发症的风险因素对于患者咨询和手术规划至关重要.
研究的目的:
- 为了确定与更糟糕的视力敏度 (VA) 相关的风险因素,IOL更换后的结果.
- 为了确定IOL更换后最常见的术后并发症.
主要方法:
- 一项回顾性队列研究分析了2013年至2019年间IRIS®注册表 (视觉智能研究) 的数据.
- 包括18岁及以上的患者,他们在美国接受了IOL更换.
- 一个多变量通用估计方程模型评估了与VA相关的因素,在手术后的一年内,VA比20/40更差.
主要成果:
- 分析了超过46,000个IOL交换程序,显示VA的平均改善从20/70到20/40在一年内.
- 60.5%的患者实现了VA的20/40或更好.
- 更糟糕的结果与年龄较大,基线视力较差,黑人,西班牙裔和亚洲种族/种族,医疗补助保险,吸烟和并发玻璃切除术有关.
- 视网膜 (10.9%),机械透镜并发症 (9.4%) 和IOL脱位 (7.1%) 是最常见的并发症.
结论:
- 在研究期间,IOL交换的年度数量增加了.
- 虽然大多数人视力得到改善,但特定的人口和临床因素预测视力结果会更差.
- 脑膜膜形成是主要的术后并发症.
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