He Lijun, Cui Yinjuan, Tang Xiaoli, He Shu, Yao Xiaoyan, Huang Qin, Lei Haiyan, Li Hui, Liao Xuan
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Sichuan Nanchong, China.
Ann Palliat Med. 2020 Nov;9(6):3802-3809. doi: 10.21037/apm-20-1709. Epub 2020 Nov 5.
Phacoemulsification is the accepted first-line treatment for cataracts. This study aims to explore the changes in visual function and quality of life in patients with senile cataracts following phacoemulsification, and its risk factors.
The clinical data of 104 patients (202 eyes in total) with senile cataract who underwent phacoemulsification in our hospital from August 2017 to August 2019 were retrospectively analyzed, and finally 102 cases (198 eyes) were enrolled according to the inclusion and exclusion criteria. These eyes were divided into the low vision group (n=75) and non-low vision group (n=123) The changes in pre- and post-operative visual function and quality of life of patients were compared. Logistic regression was used to analyze the risk factors of visual function of patients with senile cataract after phacoemulsification. The correlation between visual function and quality of life was examined.
The postoperative subjective vision, peripheral visual field, visual adaptation, and stereo vision scores, as well as the total score were higher at both 3 days and 3 months compared to the preoperative scores (P<0.05). Also, the postoperative self-care ability, mobility, psychological states, and social ability scores, as well as the total scores were higher at both 3 days and 3 months than the preoperative scores (P<0.05). Age (≥80), preoperative corrected visual acuity (<0.1), a history of glaucoma, postoperative corneal edema, fundus lesions, and a longer phacoemulsification time were independent risk factors affecting the visual function of patients with senile cataract following phacoemulsification (P<0.05). The visual function indexes of patients were positively correlated with the quality of life (P<0.05).
Phacoemulsification can improve the short-term visual function of patients with senile cataract and improve their quality of life. Advanced age, preoperative corrected visual acuity (<0.1), a history of glaucoma, postoperative corneal edema, fundus lesions, and a longer phacoemulsification time are independent risk factors that affect the visual function of patients with senile cataract after phacoemulsification. For patients with the aforementioned high-risk factors, enhanced clinical intervention and evaluation is required to reduce the risk of poor postoperative vision.
超声乳化白内障吸除术是公认的白内障一线治疗方法。本研究旨在探讨老年白内障患者超声乳化白内障吸除术后视觉功能和生活质量的变化及其危险因素。
回顾性分析2017年8月至2019年8月在我院接受超声乳化白内障吸除术的104例（共202只眼）老年白内障患者的临床资料，最终根据纳入和排除标准纳入102例（198只眼）。将这些眼分为低视力组（n = 75）和非低视力组（n = 123），比较患者术前和术后视觉功能及生活质量的变化。采用Logistic回归分析老年白内障患者超声乳化白内障吸除术后视觉功能的危险因素。检验视觉功能与生活质量之间的相关性。
术后3天和3个月时，主观视力、周边视野、视觉适应和立体视觉评分以及总分均高于术前评分（P < 0.05）。此外，术后3天和3个月时，自我护理能力、活动能力、心理状态和社交能力评分以及总分均高于术前评分（P < 0.05）。年龄（≥80岁）、术前矫正视力（<0.1）、青光眼病史、术后角膜水肿、眼底病变以及超声乳化时间较长是影响老年白内障患者超声乳化白内障吸除术后视觉功能的独立危险因素（P < 0.05）。患者的视觉功能指标与生活质量呈正相关（P < 0.05）。
超声乳化白内障吸除术可改善老年白内障患者的短期视觉功能并提高其生活质量。高龄、术前矫正视力（<0.1）、青光眼病史、术后角膜水肿、眼底病变以及超声乳化时间较长是影响老年白内障患者超声乳化白内障吸除术后视觉功能的独立危险因素。对于具有上述高危因素的患者，需要加强临床干预和评估，以降低术后视力不佳的风险。
