Bradley Michael J, Olson Randall J
Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, and University of Utah Health Sciences Center, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Am J Ophthalmol. 2006 Jan;141(1):222-4. doi: 10.1016/j.ajo.2005.08.018.
To ascertain the rate and related factors of phacoemulsification wound burns.
Survey.
We conducted a survey of 523 ophthalmologists in Utah, Colorado, Montana, South Dakota, and Oregon.
One hundred six doctors (20.3%) responded and provided data on 76,581 procedures and 75 wound burns (0.98/1000 procedures). Twenty-one wounds (28%) occurred during early sculpting, and 53 wounds (71%) occurred during fragment removal. Wound burns were found to be associated with surgical approach (P = .003), phacoemulsification unit (P = .007), and unit settings (P < .001).
Wound burns continue to be a serious complication; however, advances in technology and surgical technique help.
确定白内障超声乳化手术伤口灼伤的发生率及相关因素。
调查。
我们对犹他州、科罗拉多州、蒙大拿州、南达科他州和俄勒冈州的523名眼科医生进行了调查。
106名医生(20.3%)做出回应,并提供了76581例手术及75例伤口灼伤(每1000例手术中有0.98例)的数据。21处伤口(28%)发生在早期晶状体雕刻阶段,53处伤口(71%)发生在碎片移除阶段。发现伤口灼伤与手术方式(P = 0.003)、超声乳化设备(P = 0.007)和设备设置(P < 0.001)有关。
伤口灼伤仍是一种严重的并发症;然而,技术和手术技巧的进步有所帮助。