青光眼手术后上睑下垂
Ptosis after glaucoma surgery.
作者信息
Park Abraham J, Eliassi-Rad Babak, Desai Manishi A
机构信息
Moyes Eye Center, Department of Ophthalmology.
Boston Medical Center, Department of Ophthalmology, Boston, MA, USA.
出版信息
Clin Ophthalmol. 2017 Aug 14;11:1483-1489. doi: 10.2147/OPTH.S134562. eCollection 2017.
PURPOSE
Evaluate factors contributing to ptosis after glaucoma surgery.
METHODS
Three-year retrospective chart review from January 1, 2012, to January 1, 2015, 157 eyes, 3 surgeons, at Boston Medical Center, to determine the incidence of ptosis and the effects of each variable contributing to ptosis at 3 months after surgery. Each variable was analyzed using the chi-square or independent samples -test analysis to determine statistical significance of ptosis compared with above variables.
RESULTS
The -test or chi-square analysis showed that gender, steroid duration, use of mitomycin C, duration of surgery, and prior surgeries were not statistically significant factors for ptosis. There was a statistically significant association between those <70 years of age and ptosis (<0.05), non-combined surgery and ptosis (<0.05), shunting surgery and ptosis (<0.05).
CONCLUSION
Ptotic changes occurred more often in those who have shunting (Ahmed and Baerveldt) surgeries compared with filtering (trabeculectomy and Express) surgeries.
目的
评估青光眼手术后导致上睑下垂的相关因素。
方法
对2012年1月1日至2015年1月1日在波士顿医学中心由3位外科医生经手的157只眼睛进行为期三年的回顾性病历审查，以确定上睑下垂的发生率以及术后3个月时各导致上睑下垂变量的影响。使用卡方检验或独立样本t检验分析每个变量，以确定与上述变量相比上睑下垂的统计学显著性。
结果
t检验或卡方分析表明，性别、类固醇使用时长、丝裂霉素C的使用、手术时长和既往手术并非上睑下垂的统计学显著因素。年龄<70岁与上睑下垂之间存在统计学显著关联（P<0.05），非联合手术与上睑下垂之间存在统计学显著关联（P<0.05），分流手术与上睑下垂之间存在统计学显著关联（P<0.05）。
结论
与滤过性手术（小梁切除术和Express）相比，分流手术（艾哈迈德和贝尔维尔德）后发生上睑下垂改变的情况更常见。
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