解开活跃激增缓解 (ASM) 执行:通过活跃的哨兵手工件优化化
Kuzmanović Elabjer Biljana1,2, Štrbac Tea1, Ćubela Iva1
1University Eye Department, University Hospital "Sveti Duh", Zagreb, Croatia / Reference center of the Ministry of Health of the Republic of Croatia for Pediatric Ophthalmology and Strabismus / Reference center of the Ministry of Health of the Republic of Croatia for Inherited Retinal Dystrophies / Reference center of the Ministry of Health of the Republic of Croatia for Standardized Echography in Ophthalmology.
Korean journal of ophthalmology : KJO
|August 6, 2025
概括
在发光乳化过程中,主动激增缓解 (ASM) 启动在透镜硬度增加和年龄较大时更频繁. 一个更深的前腔会降低ASM的启动,而镜头硬度是一个比前腔深度更重要的因素.
科学领域:
- 眼科医生 眼科 眼科
- 手术技术 手术技术
- 白内障手术 手术 白内障手术
背景情况:
- 化需要精确的流体控制,以确保患者的安全.
- 主动冲击缓解 (ASM) 是一个功能,旨在在白内障手术期间管理流体动力学.
- 了解影响ASM的因素对于优化手术结果至关重要.
研究的目的:
- 为了确定影响主动冲击缓解 (ASM) 执行的人口统计,生物识别和手术内因素.
- 评估透镜硬度,伪剥皮 (PEX) 和手术内松动虹膜综合征 (IFIS) 对ASM的影响.
- 用Centurion®视觉系统确定ASM在发酵过程中使用这些因素的预测价值.
主要方法:
- 术前评估包括患者的年龄,性别,生物识别数据 (IOL Master 700,Pentacam) 和透镜硬度 (LOCS III).
- 术内评估包括IFIS,PEX,总病例时间,CDE,U/S时间和ASM启动.
- 进行了多变量分析,以确定ASM执行的显著预测因素.
主要成果:
- 在ASM启动和镜片硬度 (LOCS) 和患者年龄之间观察到显著的正相关性.
- 在ASM操作和前腔深度 (ACD) 之间发现了显著的负相关性.
- 根据性别,PEX或IFIS,没有发现ASM激活的显著差异.
结论:
- 随着透镜的硬度和患者年龄的增加,ASM启动频率会增加.
- 一个更深的前腔与较少的ASM启动有关.
- 镜片的硬度对ASM的影响比前腔深度更大;PEX和IFIS对ASM没有显著的影响.
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