有晶状体眼人工晶状体植入术后近视眼的视网膜脱离

Retinal detachment in myopic eyes after phakic intraocular lens implantation.

作者信息

Ruiz-Moreno José Maria, Montero Javier A, de la Vega Concepción, Alió Jorge L, Zapater Pedro

机构信息

Department of Ophthalmology, Miguel Hernández University School of Medicine, Alicante, Spain.

出版信息

J Refract Surg. 2006 Mar;22(3):247-52. doi: 10.3928/1081-597X-20060301-09.

DOI:10.3928/1081-597X-20060301-09

PMID:16602313

Abstract

PURPOSE

To analyze the risk of retinal detachment in highly myopic patients who underwent implantation of phakic intraocular lenses (PIOLs).

METHODS

In a retrospective, non-comparative, interventional case series, the occurrence of retinal detachment was analyzed in 522 consecutive highly myopic eyes (323 patients) that underwent PIOL implantation. Treatment and results were reviewed. Parameters evaluated were best corrected visual acuity before and after retinal detachment surgery and time between refractive surgery and retinal detachment.

RESULTS

Fifteen (2.87%) eyes presented with retinal detachment after PIOL implantation, with a mean time between surgery and detachment of 24.4 +/- 24.4 months (range: 1 to 92 months). The risk of retinal detachment in patients with high myopia corrected by PIOL implantation was 0.57% at 3 months, 1.64% at 12 months, 2.73% at 36 months, and 4.06% at 92 to 145 months (Kaplan-Meier analysis). A comparative study between the group of patients with retinal detachment and the remaining patients without retinal detachment was performed. Differences were found in axial length (30.65 +/- 1.97 vs 29.51 +/- 2.02; P=.028, one factor-analysis of variance test).

CONCLUSIONS

The risk of retinal detachment in eyes implanted with phakic lenses for the correction of high myopia is higher in eyes with axial length >30.24 mm.

摘要

目的

分析接受有晶状体眼人工晶状体（PIOL）植入术的高度近视患者发生视网膜脱离的风险。

方法

在一项回顾性、非对比性、干预性病例系列研究中，分析了连续522只高度近视眼睛（323例患者）接受PIOL植入术后视网膜脱离的发生情况。回顾了治疗方法和结果。评估的参数包括视网膜脱离手术前后的最佳矫正视力以及屈光手术与视网膜脱离之间的时间间隔。

结果

15只（2.87%）眼睛在PIOL植入术后出现视网膜脱离，手术与脱离之间的平均时间为24.4±24.4个月（范围：1至92个月）。通过PIOL植入矫正高度近视的患者，视网膜脱离风险在3个月时为0.57%，12个月时为1.64%，36个月时为2.73%，92至145个月时为4.06%（Kaplan-Meier分析）。对发生视网膜脱离的患者组与其余未发生视网膜脱离的患者进行了对比研究。发现眼轴长度存在差异（30.65±1.97 vs 29.51±2.02；P = 0.028，单因素方差分析检验）。