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土耳其老年性白内障患者中假性剥脱综合征的患病率

Prevalence of Pseudoexfoliation Syndrome in Turkish Patients with Senile Cataract.

作者信息

Gunes Alime, Yasar Cigdem, Tok Levent, Tok Ozlem

机构信息

a Department of Ophthalmology , Süleyman Demirel University, Faculty of Medicine , Isparta , Turkey.

出版信息

Semin Ophthalmol. 2017;32(3):297-301. doi: 10.3109/08820538.2015.1068344. Epub 2016 Jan 21.

Abstract

PURPOSE

To investigate the prevalence of pseudoexfoliation syndrome (PEX) among Turkish patients with senile cataract.

MATERIALS AND METHODS

Records of 352 eyes of 352 patients who underwent cataract surgery were analyzed in this retrospective study. The presence of PEX, type of cataract, intraocular pressure (IOP), glaucoma, age-related macular degeneration, and systemic diseases (coronary artery disease, hypertension, diabetes mellitus) were recorded.

RESULTS

The overall prevalence of PEX syndrome was detected to be 11%. The mean age of PEX patients was significantly higher than without PEX (74.4 ± 7.2 years and 69.3 ± 11.4 years, respectively, p = 0.004). The most common cataract type in the PEX patients was mixed-type cataract determined in 51.2% of patients. IOP was significantly higher in eyes with PEX than in eyes without it (16.1 ± 4.5 mmHg and 14.7 ± 3.8 mmHg, respectively; p = 0.03). Moreover, the prevalence of age-related macular degeneration was found to be significantly higher, and prevalence of glaucoma slightly higher in PEX patients than without PEX.

CONCLUSION

Pseudoexfoliation syndrome is a common condition in Turkish people. PEX is associated with mixed type of cataract, age-related macular degeneration, and elevated IOP. Therefore, PEX patients should be checked for concomitant diseases.

摘要

目的

调查土耳其老年性白内障患者中假性剥脱综合征(PEX)的患病率。

材料与方法

在这项回顾性研究中,分析了352例接受白内障手术患者的352只眼睛的记录。记录PEX的存在情况、白内障类型、眼压(IOP)、青光眼、年龄相关性黄斑变性和全身性疾病(冠状动脉疾病、高血压、糖尿病)。

结果

检测到PEX综合征的总体患病率为11%。PEX患者的平均年龄显著高于无PEX患者(分别为74.4±7.2岁和69.3±11.4岁,p = 0.004)。PEX患者中最常见的白内障类型是混合型白内障,在51.2%的患者中确定。有PEX的眼睛的IOP显著高于无PEX的眼睛(分别为16.1±4.5 mmHg和14.7±3.8 mmHg;p = 0.03)。此外,发现年龄相关性黄斑变性的患病率在PEX患者中显著更高,青光眼的患病率在PEX患者中略高于无PEX患者。

结论

假性剥脱综合征在土耳其人群中是一种常见病症。PEX与混合型白内障、年龄相关性黄斑变性和眼压升高有关。因此,应对PEX患者检查是否伴有其他疾病。

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