眼内透镜 (IOL) 的外科手术体积 脱位/脱中心和相关的患者/眼部因素:日本的一项回顾性多中心研究
Takahiro Usami1,2, Hideyuki Shimizu3, Tadasu Sugita4
1Ophthalmology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Cureus
|January 8, 2026
概括
在2008年至2014年期间,白内障手术和眼内透镜 (IOL) 脱位手术的数量显著增加. 然而,阿法基眼睛的手术仍保持稳定,突出显示了需要IOL固定训练的需要.
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:
- 眼内镜片 (IOL) 脱位和脱中心是白内障手术后的潜在并发症.
- 阿法基亚,一个镜头的缺失,需要二次IOL植入.
- 这些手术的时间趋势和相关的患者因素对于外科手术规划和培训至关重要.
研究的目的:
- 分析IOL脱位/脱中心和阿法基亚手术中的时间趋势.
- 检查与这些程序相关的患者和眼部背景因素.
- 为了评估三个日本机构的外科负担.
主要方法:
- 从2008年至2014年在三个医院进行的白内障相关手术的回顾.
- 每年进行的标准白内障提取手术,IOL固定在阿法基亚和IOL脱位/脱中心的量化.
- 评估并发症 (糖尿病,PEX,AD,脑膜炎,先前的玻璃切除术),年龄和性别.
主要成果:
- 常规白内障手术 (6,307至8,469) 和IOL脱位手术 (p<0.01) 的显著增加.
- 在外科手术中没有观察到有意义的趋势,因为阿法基IOL固定 (p=0.73) 或IOL分散 (p=0.94).
- 随着时间的推移,并发病率,患者平均年龄和性别比率保持稳定.
结论:
- 虽然常规白内障手术和IOL脱位修复量增加,但阿法基IOL固定需求保持不变.
- 日本人口老龄化表明,日益需要熟练使用IOL固定技术的外科医生,包括膜固定.
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