即时序贯双侧白内障手术：56700 例白内障手术 13 年真实世界报告。
Immediate sequential bilateral cataract surgery: a 13-year real-life report of 56 700 cataract operations.
机构信息
Tays Eye Centre, Tampere University Hospital, Tampere, Finland.
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
出版信息
Br J Ophthalmol. 2023 Nov 22;107(12):1782-1786. doi: 10.1136/bjo-2021-320588.
BACKGROUND/AIMS: To assess the frequency of immediate sequential bilateral cataract surgery (ISBCS) and endophthalmitis during 13-year period in Tays Eye Centre, Tampere University Hospital, Tampere, Finland.
METHODS
All cataract surgeries performed between 1 January 2008 and 31 December 2020, and all endophthalmitis cases during the same period were searched from electronic patient records. Numbers and frequencies of ISBCS, and complications, including endophthalmitis and vitreous loss, were recorded and compared with unilateral operations.
RESULTS
The study included 56 700 cataract surgeries in 34 797 patients of whom 39% (n=13 445) had ISBCS. The median age of the patients was 75 (IQR 68-80, range 0.08-99) years at the time of surgery. The proportion of ISBCS patients increased from 4.2% in 2008 to 46% in 2020. Vitreous loss occurred in 480 (0.9%) of cataract surgeries. There were no postoperative endophthalmitis after cataract surgery (n=0) during the 13-year period.
CONCLUSION
The proportion of patients undergoing ISBCS increased from 4.2% in 2008 to 46% in 2020. No endophthalmitis were found to be associated with ISBCS.
背景/目的：评估在芬兰坦佩雷大学医院泰斯眼科中心进行的 13 年期间的即刻序贯双侧白内障手术（ISBCS）和眼内炎的发生频率。
方法
从电子病历中检索 2008 年 1 月 1 日至 2020 年 12 月 31 日期间进行的所有白内障手术以及同期发生的所有眼内炎病例。记录 ISBCS 的数量和频率，以及包括眼内炎和玻璃体丢失在内的并发症，并与单侧手术进行比较。
结果
该研究共纳入 34797 名患者的 56700 例白内障手术，其中 39%（n=13445）接受了 ISBCS。手术时患者的中位年龄为 75 岁（IQR 68-80，范围 0.08-99）。ISBCS 患者的比例从 2008 年的 4.2%增加到 2020 年的 46%。在 56700 例白内障手术中有 480 例（0.9%）发生玻璃体丢失。在 13 年期间，白内障手术后没有发生眼内炎（n=0）。
结论
接受 ISBCS 的患者比例从 2008 年的 4.2%增加到 2020 年的 46%。未发现与 ISBCS 相关的眼内炎。
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