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青光眼患者白内障手术后黄斑神经节细胞-内丛状层厚度的变化

Changes of the Macular Ganglion Cell-Inner Plexiform Layer Thickness after Cataract Surgery in Glaucoma Patients.

作者信息

Roh Hyun Cheol, Park Choul Yong, Kim Martha

机构信息

Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.

出版信息

J Ophthalmol. 2016;2016:9785939. doi: 10.1155/2016/9785939. Epub 2016 Dec 22.

Abstract

. 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.

摘要

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。

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