葡萄膜炎患者白内障超声乳化术后后囊膜混浊的发生率。
Incidence of posterior capsule opacification following phacoemulsification in patients with uveitis.
作者信息
Shoughy Samir S, Jaroudi Mahmoud O, Tabbara Khalid F
机构信息
The Eye Center and the Eye Foundation for Research in Ophthalmology, King Saud University, Riyadh, Saudi Arabia.
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
出版信息
Saudi J Ophthalmol. 2021 Feb 27;34(3):182-185. doi: 10.4103/1319-4534.310414. eCollection 2020 Jul-Sep.
PURPOSE
The purpose of this study was to evaluate the incidence of posterior capsule opacification (PCO) in patients with inactive uveitis who underwent phacoemulsification with acrylic hydrophobic intraocular lens.
METHODS
Thus was a retrospective review of 25 consecutive patients (31 eyes) with uveitis who underwent phacoemulsification. A group of 100 patients (140 eyes) without uveitis served as historical controls.
RESULTS
In patients with uveitis, PCO occurred in 11 eyes (35.5%), 6 (19%) of which were visually significant and required treatment with neodymium-doped yttrium aluminum garnet (Nd: YAG) laser. In the control group, PCO developed in 17 (12%) eyes which required treatment with Nd: YAG laser. The incidence of PCO was significantly higher in uveitis patients compared to the control group ( = 0.001), but the incidence of visually significant PCO requiring laser capsulotomy was not statistically significant ( = 0.3).
CONCLUSION
The incidence of PCO in patients with uveitis was significantly higher than those without uveitis, but the need for Nd: YAG laser capsulotomy for visually significant PCO was not statistically significant.
目的
本研究旨在评估接受丙烯酸疏水人工晶状体超声乳化术的非活动性葡萄膜炎患者后囊膜混浊（PCO）的发生率。
方法
对连续25例（31只眼）接受超声乳化术的葡萄膜炎患者进行回顾性研究。选取100例（140只眼）无葡萄膜炎的患者作为历史对照。
结果
葡萄膜炎患者中，11只眼（35.5%）发生PCO，其中6只眼（19%）具有明显视力影响，需要用掺钕钇铝石榴石（Nd:YAG）激光治疗。对照组中，17只眼（12%）发生PCO，需要用Nd:YAG激光治疗。葡萄膜炎患者PCO的发生率显著高于对照组（P = 0.001），但需要进行激光囊膜切开术治疗的具有明显视力影响的PCO的发生率无统计学意义（P = 0.3）。
结论
葡萄膜炎患者PCO的发生率显著高于无葡萄膜炎患者，但对于具有明显视力影响的PCO，Nd:YAG激光囊膜切开术的必要性无统计学意义。
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