Roh Hyun Cheol, Park Choul Yong, Kim Martha
Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.
J Ophthalmol. 2016;2016:9785939. doi: 10.1155/2016/9785939. Epub 2016 Dec 22.
. To investigate the effect of uneventful cataract surgery on macular ganglion cell-inner plexiform layer (mGC-IPL) thickness in glaucoma patients. . This retrospective study included 65 eyes of 65 subjects who underwent uneventful cataract surgery, including 13 glaucoma eyes and 52 normal eyes. Using spectral domain optical coherence tomography, the mGC-IPL thickness was measured and compared between glaucoma and normal eyes preoperatively as well as 1 month and 3 months postoperatively. Linear regression analysis was used to determine the factors associated with postoperative change in mGC-IPL thickness. . The mean mGC-IPL significantly increased in both groups 1 month and 3 months after surgery (all values equal to or less than 0.001). The postoperative changes between groups were not significantly different ( = 0.171). In the multivariate regression analysis, preoperative mGC-IPL thickness showed a significant association with the change of average mGC-IPL thickness 1 month and 3 months after surgery (all values < 0.001). . The mean mGC-IPL thickness was increased after cataract surgery, and the postoperative mGC-IPL thickness changes were associated with preoperative mGC-IPL thickness in both groups and axial length in normal eye. The effects of cataract surgery on mean mGC-IPL thickness were not different in glaucomatous and normal eyes.
研究青光眼患者行白内障手术对黄斑神经节细胞-内丛状层(mGC-IPL)厚度的影响。本回顾性研究纳入了65例接受白内障手术且过程顺利的患者的65只眼,其中包括13只青光眼眼和52只正常眼。使用频域光学相干断层扫描术,在术前以及术后1个月和3个月测量并比较青光眼眼和正常眼的mGC-IPL厚度。采用线性回归分析确定与术后mGC-IPL厚度变化相关的因素。两组患者术后1个月和3个月时mGC-IPL平均厚度均显著增加(所有P值均等于或小于0.001)。两组间术后变化无显著差异(P = 0.171)。在多因素回归分析中,术前mGC-IPL厚度与术后1个月和3个月时平均mGC-IPL厚度的变化显著相关(所有P值<0.001)。白内障手术后mGC-IPL平均厚度增加,两组术后mGC-IPL厚度变化均与术前mGC-IPL厚度相关,在正常眼中还与眼轴长度相关。白内障手术对青光眼眼和正常眼平均mGC-IPL厚度的影响无差异。