Hyams Michael, Mathalone Nurit, Herskovitz Moshe, Hod Yair, Israeli David, Geyer Orna
Department of Ophthalmology, Carmel Medical Centre, Haifa, Israel.
J Cataract Refract Surg. 2005 May;31(5):1002-5. doi: 10.1016/j.jcrs.2004.09.051.
To determine the intraoperative complications in a large series of phacoemulsification procedures, including patients with and without pseudoexfoliation, excluding those with marked phacodonesis or lens subluxation.
Department of Ophthalmology, Carmel Medical Centre, Haifa, Israel.
This institutional case-control study included 1501 consecutive phacoemulsification procedures: 137 eyes with pseudoexfoliation and 1364 eyes without this condition. Baseline demographics and clinical factors were collected from the medical files. A comparative analysis of the incidence of intraoperative complications in eyes with or without pseudoexfoliation was calculated. Univariate analysis and multiple logistic regression were used to identify ocular factors that predicted intraoperative complications.
There was no significant difference (P>.05) in the rate of intraoperative complications between the pseudoexfoliation (5.8%) and control (4.0%) groups. There were no significant differences in the incidence of capsular breaks, vitreous loss, and zonular ruptures without vitreous loss in the 2 groups. Pseudoexfoliation did not confer a statistically higher risk for intraoperative complications (odds ratio 1.62, 95% confidence interval 0.74-3.55).
Phacoemulsification by experienced surgeons is safe in eyes with pseudoexfoliation without marked phacodonesis or lens subluxation.
确定大量白内障超声乳化手术中的术中并发症，包括有和没有假性剥脱综合征的患者，排除有明显晶状体震颤或晶状体半脱位的患者。
以色列海法卡梅尔医疗中心眼科。
这项机构病例对照研究纳入了1501例连续的白内障超声乳化手术：137例有假性剥脱综合征的眼和1364例无此病症的眼。从病历中收集基线人口统计学和临床因素。计算有或无假性剥脱综合征的眼中术中并发症发生率的比较分析。采用单因素分析和多因素logistic回归来确定预测术中并发症的眼部因素。
假性剥脱综合征组（5.8%）和对照组（4.0%）的术中并发症发生率无显著差异（P>0.05）。两组间囊膜破裂、玻璃体丢失和无玻璃体丢失的悬韧带断裂发生率无显著差异。假性剥脱综合征并未使术中并发症的统计学风险更高（比值比1.62，95%置信区间0.74-3.55）。
对于没有明显晶状体震颤或晶状体半脱位的有假性剥脱综合征的眼，经验丰富的外科医生进行白内障超声乳化手术是安全的。
