在发泡化手术后的核下降:发生率,危险因素和临床结果
Shalaka Ramesh Waghamare1, Senthil Prasad1, R Sankarananthan1
1Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India.
International ophthalmology
|June 21, 2024
概括
在发酵过程中核下降是罕见的 (0.1%),但严重. 早期的治疗和外科医生的专业知识可以改善这种核落并发症的结果.
科学领域:
- 眼科医生 眼科 眼科
- 手术并发症 手术并发症
- 白内障手术的结果
背景情况:
- 发光乳化是一种常见的白内障手术技术.
- 核滴落 (ND) 是化过程中的潜在并发症.
- 了解ND发病率和风险因素对于患者安全至关重要.
研究的目的:
- 为了确定发病率核下降 (ND) 后的化.
- 为了确定ND的手术前和手术期间的风险因素.
- 根据ND管理策略来评估临床结果.
主要方法:
- 对93760个发泡乳化病例 (2019年1月至2022年12月) 的回顾性审查.
- 根据外科专业知识和手术步骤计算ND发病率.
- 风险因素的评估和结果的比较 (BCVA,IOP) 基于管理时间和IOL安置.
主要成果:
- 新发病的发生率为0.1% (130/93,760例).
- 危险因素包括晚期白内障,绿内障,后极白内障和糖尿病.
- 主要硫IOL放置显示出更好的视觉结果;PPV时间对BCVA或IOP没有显著影响.
结论:
- 核掉落,虽然很少见,但是一个严重的并发症,需要仔细管理.
- 术前评估,风险分层和外科医生的专业知识是关键.
- 及时管理ND导致改善了解剖和功能结果.
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