Prevalence of diplopia related to cataract surgery among cases of diplopia
Prevalence of diplopia related to cataract surgery among cases of diplopia
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DOI：
10.1177/112067210701700608
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发表时间：
2007-11-01
影响因子：
1.7
通讯作者：
Damanakis, A.
中科院分区：
文献类型：
--
作者：
Karagiannis, D.;Chatzistefanou, K.;Damanakis, A.
目的。目的评价希腊复视患者白内障术后复视的发生率。方法：作者回顾了8年来571例复视患者的病历，以评估与白内障手术相关的复视的发生率。手术和麻醉记录也被复习。所有患者都进行了完整的直视评估，包括在所有注视位置进行遮盖测试的棱镜。结果：39例(6.8%)患者存在与白内障手术相关的持续性复视。麻醉类型为球周麻醉。未使用透明质酸酶。13名患者为男性，26名为女性。左眼受累22例(56.4%)，右眼受累17例(43.6%)。平均年龄72.5岁。患者被分成四组。第一组为29例与麻醉相关的手术创伤患者。第二组为7例与既往疾病相关的患者。第3组为2例与屈光参差或屈光参差有关的患者。第4组：黄斑病变相关者1例。垂直复视最多见(28例)。29例患者用棱镜矫正，9例需要斜视手术，1例同时需要手术和棱镜。结论：白内障手术并不是持续性复视的常见原因。然而，这份报告强调了与白内障相关的复视在一般复视病例中的患病率很高，复视大多是垂直的(p=0.001)，影响女性(p=0.006)，更常见于左眼，尽管结果没有达到统计学意义(p=0.133)。
PURPOSE. To evaluate the prevalence of diplopia in Greece after cataract surgery among diplopia cases.METHODS. The authors retrospectively reviewed the medical records of 571 patients with diplopia over an 8-year period in order to evaluate the prevalence of diplopia related to cataract surgery. The surgical and anesthetic records were also reviewed. All patients had full orthoptic assessment including prisms with cover test in all gaze positions. The chi-square and cross-tabulation statistical tests were used for statistical analysis.RESULTS. Thirty-nine cases (6.8%) were having persistent diplopia related to cataract surgery. Type of anesthesia was peribulbar. Hyaluronidase was not used. Thirteen patients were men and 26 were women. Left eyes were involved in 22 cases (56.4%), right in 17 cases (43.6%). Mean age was 72.5 years. Patients were divided into four groups. Group 1 consisted of 29 patients related to surgical trauma due to anesthesia. Group 2 consisted of 7 patients related to pre-existing disorders. Group 3 consisted of 2 patients related to aniseikonia or anisometropia. Group 4 with 1 patient related to macular pathology. Vertical diplopia was mostly noted (28 cases). Twenty-nine patients were corrected with prisms, 9 needed strabismus surgery, and 1 needed both surgery and prisms.CONCLUSIONS. Cataract surgery is not a common cause of persistent diplopia. However, this report highlights that prevalence of diplopia related to cataract is high among cases of diplopia in general, with diplopia being mostly vertical (p=0.001), affecting females (p=0.006), and being more common in left eyes, although results did not reach statistical significance (p=0.133).