既往玻璃体切割术后的眼部白内障手术：欧洲白内障和屈光手术质量结果登记处反映的风险和获益。
Cataract surgery of eyes with previous vitrectomy: risks and benefits as reflected in the European Registry of Quality Outcomes for Cataract and Refractive Surgery.
机构信息
From the Department of Clinical Sciences, Ophthalmology, Faculty of Medicine (Lundström), Lund University, Lund, Sweden; University Eye Clinic, Maastricht University Medical Centre (Dickman), Maastricht, Department of Ophthalmology, Amsterdam UMC (Henry), the Netherlands; Department of Ophthalmology, University Hospital Waterford (Manning), Waterford, Ireland; Oxford Eye Hospital (Rosen), Oxford, United Kingdom; Department of Ophthalmology, Antwerp University Hospital, University of Antwerp (Tassignon), Antwerp, Belgium; Department of Mathematics and Statistics, University of Strathclyde (Young), Glasgow, United Kingdom; Department of Ophthalmology, Sahlgrenska University Hospital (Stenevi), Mölndal, Sweden.
出版信息
J Cataract Refract Surg. 2020 Oct;46(10):1402-1407. doi: 10.1097/j.jcrs.0000000000000296.
PURPOSE
To explore the frequency and outcomes of cataract surgery in eyes with previous vitrectomy.
SETTING
Fifteen European countries.
DESIGN
Retrospective cross-sectional register-based study.
METHODS
The European Registry of Quality Outcomes of Cataract and Refractive Surgery (EUREQUO) contains data on baseline characteristics, surgery, and follow-up for cataract surgeries. Previous vitrectomy is included as a mandatory parameter in baseline characteristics. According to the protocol for EUREQUO, consecutive cases should be reported by participating units.
RESULTS
This study included data from units in 15 European countries from 2008 to 2018; 1 715 348 cataract extractions with follow-up data were reported to EUREQUO. Previous vitrectomy was reported in 19 416 eyes comprising 1.1% of all cases. This proportion was about the same for each study year. Most patients were men, and their mean age was 64.1 years compared with 73.7 years for the rest of the database. The preoperative visual acuity was modestly worse in postvitrectomy eyes compared with the opposite (corrected distance visual acuity [CDVA] 0.45 vs 0.25, respectively). A postoperative CDVA of 0.5 or better was achieved by 82.8% of the postvitrectomy eyes compared with 95.6% for the non-postvitrectomy eyes. The absolute mean biometry prediction error for the same groups was 0.52 diopters (D) vs 0.43 D, respectively.
CONCLUSIONS
Patients undergoing cataract extraction after previous vitrectomy were younger and mostly men. Their visual and refractive outcomes were slightly inferior compared with the patients without vitrectomy.
目的
探讨既往玻璃体切割术后白内障手术的频率和结局。
设置
15 个欧洲国家。
设计
回顾性、基于注册的、横断面研究。
方法
欧洲白内障和屈光手术质量结果登记处（EUREQUO）包含白内障手术的基线特征、手术和随访数据。既往玻璃体切割术作为基线特征的一个强制性参数被纳入其中。根据 EUREQUO 的方案，应由参与单位报告连续病例。
结果
本研究纳入了来自 2008 年至 2018 年欧洲 15 个国家的单位数据；向 EUREQUO 报告了 1715348 例有随访数据的白内障切除术。报告了 19416 只眼既往玻璃体切割术，占所有病例的 1.1%。每个研究年份的比例大致相同。大多数患者为男性，平均年龄为 64.1 岁，而数据库中其余患者的平均年龄为 73.7 岁。与未行玻璃体切割术的患者相比，术后视力稍差（矫正远视力[CDVA]分别为 0.45 和 0.25）。术后 CDVA 达到 0.5 或更好的比例，行玻璃体切割术眼为 82.8%，而行玻璃体切割术眼为 95.6%。两组的平均生物测量预测误差绝对值分别为 0.52 屈光度（D）和 0.43 D。
结论
既往玻璃体切割术后行白内障切除术的患者年龄较小，且多为男性。他们的视力和屈光结果略差于未行玻璃体切割术的患者。
Zotero 插件