NUCLEAR SCLEROSIS AFTER VITRECTOMY FOR IDIOPATHIC EPIRETINAL MEMBRANES
NUCLEAR SCLEROSIS AFTER VITRECTOMY FOR IDIOPATHIC EPIRETINAL MEMBRANES
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DOI：
10.1016/0002-9394(88)90180-8
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发表时间：
1988-02-15
影响因子：
4.2
通讯作者：
GLASER, BM
中科院分区：
文献类型：
--
作者：
DEBUSTROS, S;THOMPSON, JT;GLASER, BM
我们对75只连续有晶状体眼的特发性视网膜前膜行玻璃体切除术后发生的透镜变化进行了回顾性分析。35只眼（47%）出现或进展为核硬化。前囊下白内障无变化，后囊下白内障有3只眼（4%）变化极小。单因素分析发现，术前核硬化的存在、随访时间的长短和手术医生与核硬化的发生或进展相关。外科医生之间的差异主要是由于术前核硬化的比例差异和随访时间的不同。对53只眼睛进行Kaplan-Meier生命表分析，检查对侧眼并进行更长时间的随访，结果显示，与对侧眼相比，手术眼的核硬化明显更多（对数秩检验，P < .0001）。
We performed a retrospective analysis of lens changes occurring after vitrectomy for idiopathic epiretinal membranes causing macular pucker on 75 consecutive phakic eyes. Thirty-five eyes (47%) had appearance or progression of nuclear sclerosis. There were no changes in anterior subcapsular cataracts and three eyes (4%) had minimal changes in posterior subcapsular cataracts.Based on univariate analysis, presence of preoperative nuclear sclerosis, length of follow-up period, and surgeon were found to be associated with the occurrence or progression of nuclear sclerosis. Differences between surgeons were largely accounted for by the difference in proportions with preoperative nuclear sclerosis, and differing lengths of follow-up. Kaplan-Meier life table analysis performed on 53 eyes with examination of fellow eyes and longer follow-up showed significantly more nuclear sclerosis in the operated on eye when compared to the fellow eye (log-rank test, P < .0001).