在白内障手术后进行眼内镜片更换或扩张
Arundhati Dvivedi1,2, Somasheila I Murthy1,2, Sukesh Manga1
1Department of Cataract, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad 500034, Telangana, India.
International journal of ophthalmology
|November 19, 2024
概括
在白内障手术后,眼内镜片 (IOL) 交换或扩张是罕见的 (0.15%). 潜流是主要原因,但通过适当的二次IOL选择可以获得良好的视觉结果 (>70%).
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 眼内镜片 眼内镜片 眼内镜片
背景情况:
- 白内障手术是一种常见的手术,但可能会出现需要眼内镜片 (IOL) 交换或扩张的并发症.
- 了解这些修复手术的发生率,症状和结果对于改善患者护理至关重要.
研究的目的:
- 为了确定IOL更换/移植手术的发病率,症状和视觉结果.
- 为了比较这些手术的实习生和经验丰富的外科医生之间的结果.
主要方法:
- 在2017年1月至2022年12月期间,对60只眼睛进行了内腔眼镜交换/移植的回顾性分析.
- 收集的数据包括指示,手术内并发症,二次IOL类型和视力敏度结果.
主要成果:
- 内膜眼镜更换/移植的发生率为0.15% (在39778次手术中占60次).
- 常见的征兆是下 (43.3%) 和位 (33.3%) 的内腔眼镜. 后囊破裂是经常出现的手术内风险因素.
- 71.66%的眼睛获得了良好的视力敏度 (>20/60),在实习生和经验丰富的外科医生之间没有显著差异.
结论:
- 内膜外置是内膜更换/移植最常见的迹象.
- 尽管有并发症,但适当的二次IOL选择在70%以上的病例中导致了有利的视觉结果.
- 手术经验水平没有显著影响这个队列的视觉结果.
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