Follow-Up Study of Over Three Years of Patients with Uveitis after Cataract Phacoemulsification: Outcomes and Complications
Follow-Up Study of Over Three Years of Patients with Uveitis after Cataract Phacoemulsification: Outcomes and Complications
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DOI：
10.3109/08820538.2015.1009554
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发表时间：
2016-11-01
影响因子：
1.7
通讯作者：
La Cava, Maurizio
中科院分区：
文献类型：
--
作者：
Abbouda, Alessandro;Tortorella, Paolo;La Cava, Maurizio
目的：评估超声乳化术后术中和术后并发症的发生率和发生率。方法：通过回顾手术记录，确定 2006 年至 2009 年间接受超声乳化手术的 145 例葡萄膜炎患者的 162 只眼。 46 名患者的 59 只眼睛符合纳入标准。计算每一类葡萄膜炎的风险比（HR）和Kaplan-Meier生存概率。结果：黄斑水肿（ME）与慢性术后炎症相关（r = 0.6；p = 0.00），并且主要与每年出现一次以上术后复发的患者相关（r = 0.2；p = 0.02）。 Fuchs 葡萄膜炎被认为是后囊膜混浊 (PCO) 的危险因素（HR 3.36 IC95%1.0-10.5；p = 0.03）。前葡萄膜炎组（0.02 EY）检测到眼压低和眼压升高（TOP）。结论：发生ME的HR与慢性前葡萄膜炎显着相关。 PCO 和 IOP 升高在福克斯葡萄膜炎中最常见。所有葡萄膜炎组术后视力结果均良好。
Purpose: To evaluate the rate and onset of intraoperative and postoperative complications post-phacoemulsification. Methods: One hundred sixty-two eyes of 145 patients with uveitis who underwent phacoemulsification between 2006 and 2009 were identified through surgical record review. Fifty-nine eyes of 46 patients met the inclusion criteria. Hazard ratio (HR) and Kaplan-Meier survival probability were calculated for each class of uveitis. Results: Macular edema (ME) resulted to be associated to chronic postoperative inflammation (r = 0.6; p = 0.00) and mostly related to patients who presented more than one postoperative relapse/year (r = 0.2; p = 0.02). Fuchs uveitis resulted to be a risk factor for posterior capsule opacification (PCO) (HR 3.36 IC95%1.0-10.5; p = 0.03). Hypotony and elevated intraocular pressure (TOP) were detected in the anterior uveitis group (0.02 EY). Conclusion: The HR to develop ME was significantly related to chronic anterior uveitis. PCO and elevated IOP are most frequent in Fuchs uveitis. The postoperative visual acuity result was good among all the uveitis groups.