The influence of a prolonged interoperative period on binocular vision after bilateral cataract extractions
The influence of a prolonged interoperative period on binocular vision after bilateral cataract extractions
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DOI：
10.5301/ejo.5000569
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发表时间：
2015-07-01
影响因子：
1.7
通讯作者：
Broniarczyk-Loba, Anna
中科院分区：
文献类型：
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作者：
Loba, Piotr;Rajska, Kinga;Broniarczyk-Loba, Anna
目的：评价手术时间对连续双侧白内障摘除联合人工透镜植入术后患者双眼视功能的影响。评估视疲劳症状、远斜视和近斜视角、融合振幅、立体视觉和会聚的存在。术前，术中，术后最佳矫正视力的眼睛之间的差异也被记录。多因素分析，以建立手术时间和双眼status.Results之间的关系：该研究包括104例患者（74名女性，30名男性，平均年龄69.9岁，范围32-88）。平均手术时间为20.3 +/- 12.9个月，范围为1.5-47.7。手术间隔延长对TNO（R-2 = 0.215，p = 0.001）和Randot（R-2 = 0.179，p = 0.001）立体视觉测试测量的立体视觉以及近会聚点（R-2 = 0.09，p = 0.002）有显著的负面影响。这也与融合振幅降低相关，但不独立，主要是距离（发散R-2 = 0.18，p = 0.001，会聚R-2 = 0.12，p = 0.001）。17例（16.3%）患者报告了视疲劳症状。外隐斜视的发病率显着（p = 0.002）更高的患者与手术时间间隔长于24 months.Conclusions：手术期间的长度影响患者的双眼视觉的状态后，双侧白内障摘除术。它也与越来越多的患者有视疲劳症状和外隐斜有关。
Purpose: To evaluate the influence of the extent of the interoperative period on binocular vision function in patients after consecutive bilateral cataract extractions and intraocular lens implantation.Methods: The study included patients operated due to bilateral cataract. Presence of asthenopic symptoms, distance and near squint angle, fusional amplitudes, stereopsis, and convergence were evaluated. Preoperative, interoperative, and postoperative differences in best-corrected visual acuity between eyes were also noted. Multivariate analysis was conducted in order to establish the relation between the interoperative period and binocular status.Results: The study included 104 patients (74 female, 30 male, mean age 69.9 years, range 32-88). Mean interoperative period was 20.3 +/- 12.9 months, range 1.5-47.7. Prolongation of the interoperative interval had a significant negative impact on stereopsis measured by TNO (R-2 = 0.215, p = 0.001) and Randot (R-2 = 0.179, p = 0.001) stereotests, as well as for near point of convergence (R-2 = 0.09, p = 0.002). It was also related, but not independently, to reduction in fusional amplitudes, mainly for distance (R-2 = 0.18, p = 0.001 for divergence and R-2 = 0.12, p = 0.001 for convergence). Asthenopic symptoms were reported by 17 (16.3%) patients. The incidence of exophoria was significantly (p = 0.002) higher in patients with an interoperative interval longer than 24 months.Conclusions: The length of the interoperative period influences the status of binocular vision in patients after bilateral cataract extraction. It is also connected with an increased number of patients with asthenopic symptoms and exophoria.