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大系列疏水丙烯酸人工晶状体中的闪光点。

Glistenings in a large series of hydrophobic acrylic intraocular lenses.

机构信息

Service d'Ophtalmologie, Hôpital Pellegrin, CHU de Bordeaux, Bordeaux, France.

出版信息

J Cataract Refract Surg. 2009 Dec;35(12):2121-6. doi: 10.1016/j.jcrs.2009.06.029.

DOI:10.1016/j.jcrs.2009.06.029
PMID:19969218
Abstract

PURPOSE

To evaluate the incidence and severity of glistenings in hydrophobic acrylic intraocular lenses (IOLs) and assess the potential correlation between glistenings and clinical and demographic factors.

SETTING

Service d'Ophtalmologie, Centre Hospitalier et Universitaire Bordeaux, Bordeaux, France.

METHODS

Eligible patients received an AcrySof IOL between September 2000 and December 2007 and had a routine ophthalmic visit between January 2007 and March 2008. The incidence and severity of glistenings were graded subjectively and analyzed in relation to patient age and sex, length of follow-up, IOL model, IOL power, neodymium:YAG laser capsulotomy, corrected distance visual acuity (CDVA), spherical equivalent (SE), and selected ocular and systemic diseases and medications.

RESULTS

Glistenings occurred in 157 (60.4%) of the 260 eyes; they were absent in 103 eyes (39.6%). Glistenings were of grade 1 severity in 87 eyes (33.5%) and of grade 2 severity in 70 eyes (26.9%).

CONCLUSIONS

The results suggest a potential association between the incidence of glistenings and IOL power and glaucoma, but not between glistenings and age, sex, IOL model, length of follow-up, CDVA, SE, or most ocular and systemic diseases and medications.

摘要

目的

评估疏水性丙烯酸人工晶状体(IOL)中的闪光发生率和严重程度,并评估闪光与临床和人口统计学因素之间的潜在相关性。

地点

法国波尔多大学医院眼科服务中心。

方法

符合条件的患者于 2000 年 9 月至 2007 年 12 月期间接受 AcrySof IOL 治疗,并于 2007 年 1 月至 2008 年 3 月期间进行常规眼科检查。闪光的发生率和严重程度进行主观分级,并根据患者年龄和性别、随访时间、IOL 型号、IOL 度数、钕:YAG 激光后囊切开术、矫正远视力(CDVA)、等效球镜(SE)以及选定的眼部和全身疾病及药物进行分析。

结果

260 只眼中有 157 只(60.4%)出现闪光;103 只眼(39.6%)无闪光。87 只眼(33.5%)为 1 级闪光,70 只眼(26.9%)为 2 级闪光。

结论

结果提示闪光的发生率与 IOL 度数和青光眼之间可能存在关联,但与年龄、性别、IOL 型号、随访时间、CDVA、SE 或大多数眼部和全身疾病及药物之间无关联。

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