SCI TOP 10

当前位置:首页>SCI TOP 10

急性房角关闭患者行白内障手术中悬韧带不稳定相关因素 Factors Associated With Zonular Instability During Cataract Surgery in Eyes With Acute Angle Closure Attack

Kwon, J., Sung, K.R.

期刊名称:American journal of ophthalmology

卷期:2017年第183卷

摘要

摘要:目的:旨在比较急性闭角型青光眼(AAC)发作病史和随后进行白内障手术患者的人口统计学和眼部特征,包括眼前段光学相干断层扫描图像和悬韧带不稳定性。设计:回顾性病例对照研究。方法:56例有AAC发作病史并进行白内障手术患者的68只眼。根据白内障手术中悬韧带不稳定性,将14只眼分到悬韧带不稳定(+)组,并将54只分为悬韧带不稳定(-)组。测量并比较两组患者的眼压峰值,术前等效球镜(SE),眼轴长度(AL),前房深度(ACD)和晶状体穹窿(LV)。同时也进行了个体间比较。结果:在悬韧带不稳定(+)组分区,男性9只眼,女性5只眼。与悬韧带不稳定(-)组相比,悬韧带不稳定(+)组眼显示远视SE值较小,AL较长,ACD较浅和LV较高(均P <0.001)。此外,悬韧带不稳定(+)组眼比对侧眼具有更小的远视SE,更浅的ACD和更高的LV。多变量logistic回归分析显示,远视SE较小,AL较长和LV较高与分层不稳定性明显相关。结论:临床医生应考虑有AAC病史患者远视SE较小,AL较长和LV较高眼白内障手术中悬韧带不稳定的可能性。

PURPOSE:To compare the demographics and ocular characteristics, including anterior segment optical coherence tomography images and zonular instability, in eyes with a history of acute angle closure (AAC) attack and subsequent cataract surgery.DESIGN:Retrospective case-control study.METHODS:A total of 68 eyes of 56 patients with a history of AAC attack who underwent cataract surgery were enrolled. Fourteen eyes were assigned to the zonular instability (+) group and 54 were assigned to the zonular instability (-) group based on the presence of zonular instability during cataract surgery. The peak intraocular pressure, preoperative spherical equivalent (SE), axial length (AL), anterior chamber depth (ACD), and lens vault (LV) were measured and compared between 2 groups. Intereye (intraindividual) comparison was also performed. Factors associated with zonular instability were assessed.RESULTS:In the zonular instability (+) group, 9 eyes were from male and 5 from female participants. Eyes in the zonular instability (+) group showed less hyperopic SE values, longer AL, shallower ACD, and higher LV, as compared with those in the zonular instability (-) group (all P .001). Moreover, eyes in the zonular instability (+) group had less hyperopic SE, shallower ACD, and higher LV than their fellow eyes. Less hyperopic SE, longer AL, and higher LV were significantly associated with zonular instability on multivariate logistic regression analysis.CONCLUSIONS:Clinicians should consider the possibility of zonular instability during cataract surgery for eyes with less hyperopic SE, longer AL, and higher LV among those with a history of AAC attack.


点击下载

CopyRight 2016  兴齐100版权所有 京ICP证060955号
技术支持:示剑网络   http://100.sinqi.com/