皮质囊粘连的关联。
Associations in corticocapsular adhesions.
机构信息
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.
Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, Lebanon.
出版信息
Eye (Lond). 2022 Jan;36(1):193-197. doi: 10.1038/s41433-021-01482-5. Epub 2021 Mar 5.
OBJECTIVES
To determine the patient-related factors that contribute to intraoperative corticocapsular adhesions (CCA) during phacoemulsification cataract extraction (PCE).
METHODS
Prospective, single surgeon, multi-year study of consecutive patients undergoing PCE was performed. At the conclusion of each procedure, the surgeon recorded the CCA and perceived surgeon stress score. Patient variables included gender, age, diabetes mellitus, intake of oral alpha blockers, floppy iris, laterality, pseudo-exfoliation, and intraocular lens power.
RESULTS
During the 10-year study, 1097 eyes underwent surgery and CCA was diagnosed intraoperatively in 41 eyes. On multi-variable analysis, the following patient characteristics were associated with intraoperative CCA: diabetes mellitus (p = 0.002), age >80 years (p = 0.002), presence of posterior capsular cataract (p = 0.046), severe nuclear sclerosis (p = 0.004), and absence of pseudo-exfoliation (p = 0.043).
CONCLUSION
Diabetes mellitus, advanced age and posterior subcapsular cataract are associated with CCA necessitating generous repetitive hydrodissection.
目的
确定导致白内障超声乳化吸除术中皮质-囊膜粘连（CCA）的患者相关因素。
方法
前瞻性、单手术者、多年连续患者行白内障超声乳化吸除术的研究。在每个手术的结束时，手术医生记录 CCA 和感知的手术压力评分。患者变量包括性别、年龄、糖尿病、口服α受体阻滞剂的摄入、虹膜松弛、侧别、假性剥脱综合征和人工晶状体度数。
结果
在 10 年的研究中，1097 只眼接受了手术，41 只眼术中诊断为 CCA。多变量分析显示，以下患者特征与术中 CCA 相关：糖尿病（p=0.002）、年龄>80 岁（p=0.002）、后囊下白内障（p=0.046）、严重核硬化（p=0.004）和无假性剥脱综合征（p=0.043）。
结论
糖尿病、高龄和后囊下白内障与需要反复大量水分离的 CCA 相关。
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