From the Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Ponder, Rather, Jabbehdari, Neuhouser, Siddiqui, Sallam); Department of Ophthalmology, Faculty of Medicine, Assiut University, Assiut, Egypt (Soliman); Wolverhampton Eye Infirmary, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, United Kingdom (Yang); Department of Ophthalmology, Gloucestershire Hospitals NHS Trust, Cheltenham, United Kingdom (Sallam).
J Cataract Refract Surg. 2022 Jun 1;48(6):697-704. doi: 10.1097/j.jcrs.0000000000000829.
To compare the visual outcomes and the rate of intraoperative complications in eyes with and without retinal vein occlusion (RVO) after phacoemulsification over a period of 15 years in a real-world clinical setting.
8 independent U.K. National Health Service ophthalmology departments.
Retrospective, multicenter cohort study.
Eyes were classified based on the presence or absence of RVO. For analyzing visual acuity (VA) and the incidence of postoperative cystoid macular edema, eyes with any copathology, combined ocular surgical procedures, and intraoperative complications, or of diabetic patients were excluded.
Of 178 856 eyes, 1796 eyes with RVO preoperatively and 177 060 eyes without RVO were allocated to the RVO group and the reference group, respectively. Cataract surgery in eyes with RVO was associated with an improvement in the mean VA of 0.35 logMAR (3 to 4 Snellen lines), and a substantial gain (≥0.30 logMAR units [3 Snellen lines]) was achieved in 55.10% of eyes at 4 to 12 weeks postoperatively. The mean postoperative VA was worse in eyes with RVO compared with that in eyes without RVO at 4 to 12 weeks (logMAR 0.40 vs 0.12 [20/50 vs 20/25]; P < .0001). The proportion of eyes achieving a visual gain of ≥ 0.3 logMAR (3 Snellen lines) was also lower in eyes with RVO (55.10% vs 64.55%; P = .0076). There was no statistically significant difference in posterior capsule rupture rates between the 2 groups (1.73% vs 1.72%; P = .9741).
Although postoperative vision improved significantly in eyes with RVO after cataract surgery, this improvement was worse than that achieved by eyes without RVO.
在真实临床环境下，比较 15 年间超声乳化白内障吸除术后合并和不合并视网膜静脉阻塞（RVO）眼的视力结果和术中并发症发生率。
8 个英国国家卫生服务眼科独立部门。
回顾性、多中心队列研究。
根据是否存在 RVO 对眼进行分类。为了分析视力（VA）和术后囊样黄斑水肿的发生率，排除了有任何合并眼病、联合眼部手术和术中并发症或糖尿病患者的眼。
在 178856 只眼中，术前 1796 只眼有 RVO，177060 只眼无 RVO，分别归入 RVO 组和对照组。RVO 眼的白内障手术与平均 VA 提高 0.35 对数视力（3 至 4 斯耐伦线）相关，55.10%的眼在术后 4 至 12 周获得显著提高（≥0.30 对数视力单位[3 斯耐伦线]）。RVO 眼术后 4 至 12 周的平均术后 VA 较无 RVO 眼差（对数视力 0.40 比 0.12[20/50 比 20/25]；P<.0001）。RVO 眼获得≥0.3 对数视力（3 斯耐伦线）提高的眼比例也低于无 RVO 眼（55.10%比 64.55%；P=.0076）。两组间后囊破裂率无统计学差异（1.73%比 1.72%；P=.9741）。
尽管 RVO 眼白内障手术后视力明显改善，但改善程度不如无 RVO 眼。
