在两个眼科医院进行了法化和小切口手动白内障手术后的视觉结果和并发症
G S Okoye1, D Bonabe2, C U Obasi3
1Department of Ophthalmology, Africa Eye Laser Centre, Benin City, Edo State, Nigeria; Department of Ophthalmology, Centre for Sight Africa, Nkpor, Anambra State, Nigeria; Laser Vision CXL, Brandon, Florida, United States.
Journal francais d'ophtalmologie
|November 19, 2024
概括
在尼日利亚的眼科医院中,化 (PHACO) 和手动小切口白内障手术 (MSICS) 显示了可比的视觉结果. 经验丰富的外科医生取得了类似的结果,尽管MSICS在复杂病例中更频繁地使用.
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:
- 白内障手术对于恢复视力至关重要.
- 比较手术技术,如化 (PHACO) 和手动小切口白内障手术 (MSICS) 对于优化患者的治疗结果至关重要.
- 了解手术实践和结果的区域差异对于医疗保健规划至关重要.
研究的目的:
- 为了比较PHACO与MSICS的视觉结果和并发症率.
- 在尼日利亚两家转诊眼科医院评估白内障手术的有效性.
主要方法:
- 对3923次白内障手术的回顾性分析 (2017年2月至2022年).
- 在PHACO和MSICS组之间比较视敏度 (VA) 和并发症数据.
- 使用世界卫生组织 (WHO) 标准进行VA评估.
主要成果:
- 无论是PHACO (87.9%) 还是MSICS (12.1%) 都实现了高水平的良好的视力敏度 (分别为93.8%和92.3%).
- 在MSICS组中,手术前后并发症和术后并发症显著增加 (12.45%对5.89%).
- 青光眼是最常见的先前存在的眼部病理 (40.96%).
结论:
- 经验丰富的外科医生通过PHACO和MSICS实现了类似的视力敏度结果.
- 尽管MSICS的并发症率较高,但它通常用于更复杂的病例.
- 在这种情况下,这两种技术都有效用于视觉康复.
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