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随着白内障手术的增加,角关闭的激光外周 iridotomy 的下降:韩国一项全国性的队列研究
Woojin Kim1, Chan Mi Park2, Seokjin Kong3
1Department of Ophthalmology, Korea University Guro Hospital, Seoul, Republic of Korea.
PloS one
|February 20, 2026
概括
在韩国,白内障手术增加,而激光外周 iridotomy (LPI) 减少,大多数 LPI 患者后来进行白内障手术. 这表明,对于更早地提取镜头来进行角度闭合管理的趋势.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 白内障手术和激光外周 iridotomy (LPI) 是常见的眼科手术.
- 了解这些程序的趋势对于医疗保健规划至关重要.
研究的目的:
- 分析2016-2021年韩国白内障手术和LPI的全国趋势.
- 调查这些程序之间的时间关联.
- 确定影响程序模式的患者特征.
主要方法:
- 使用韩国国家健康信息数据库进行回顾性队列研究.
- 在2016年至2021年期间接受白内障手术或LPI的65岁以上个体的分析.
- 评估LPI后手术体积,时间相关性,人口统计和随后的白内障手术的时间.
主要成果:
- 白内障手术在2019年之前呈现了上升的趋势,在2020年出现下降,2021年出现上升.
- 在2017年之后,LPI程序呈现稳定的下降.
- 在65-74岁的年龄组中发现白内障手术和LPI之间存在显著的负相关性 (r=-0.943,P=0.005).
- 92.1%的LPI患者在平均121天内接受了白内障手术.
结论:
- 越来越多的白内障手术和韩国LPI下降之间存在明显的时间关联.
- 大多数LPI患者相对较快地进行白内障手术.
- 这种模式可能表明临床转向更早的透镜提取,以控制角度闭合.
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