Abbouda Alessandro, Tortorella Paolo, Restivo Lucia, Santoro Elisa, De Marco Federica, La Cava Maurizio
a Department of Ophthalmology , University of Rome "Sapienza" , Rome , Italy.
Semin Ophthalmol. 2016;31(6):532-41. doi: 10.3109/08820538.2015.1009554. Epub 2015 Feb 20.
To evaluate the rate and onset of intraoperative and postoperative complications post-phacoemulsification.
One hundred sixty-two eyes of 145 patients with uveitis who underwent phacoemulsification between 2006 and 2009 were identified through surgical record review. Fifty-nine eyes of 46 patients met the inclusion criteria. Hazard ratio (HR) and Kaplan-Meier survival probability were calculated for each class of uveitis.
Macular edema (ME) resulted to be associated to chronic postoperative inflammation (r = 0.6; p = 0.00) and mostly related to patients who presented more than one postoperative relapse/year (r = 0.2; p = 0.02). Fuchs uveitis resulted to be a risk factor for posterior capsule opacification (PCO) (HR 3.36 IC95%1.0-10.5; p = 0.03). Hypotony and elevated intraocular pressure (IOP) were detected in the anterior uveitis group (0.02 EY).
The HR to develop ME was significantly related to chronic anterior uveitis. PCO and elevated IOP are most frequent in Fuchs uveitis. The postoperative visual acuity result was good among all the uveitis groups.
评估白内障超声乳化术后术中及术后并发症的发生率和发生时间。
通过手术记录回顾，确定了2006年至2009年间接受白内障超声乳化术的145例葡萄膜炎患者的162只眼。46例患者的59只眼符合纳入标准。计算每类葡萄膜炎的风险比（HR）和Kaplan-Meier生存概率。
黄斑水肿（ME）与术后慢性炎症相关（r = 0.6；p = 0.00），且主要与每年出现不止一次术后复发的患者相关（r = 0.2；p = 0.02）。富克斯葡萄膜炎是后囊膜混浊（PCO）的一个危险因素（HR 3.36，IC95% 1.0 - 10.5；p = 0.03）。在前葡萄膜炎组中检测到低眼压和眼压升高（0.02眼）。
发生ME的HR与慢性前葡萄膜炎显著相关。PCO和眼压升高在富克斯葡萄膜炎中最为常见。所有葡萄膜炎组的术后视力结果良好。
