Analysis of factors correlated with the development of pseudophakic retinal detachment - a long-term study in a single medical center
Analysis of factors correlated with the development of pseudophakic retinal detachment - a long-term study in a single medical center
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DOI：
10.1007/s00417-012-2043-3
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发表时间：
2013-02-01
影响因子：
2.7
通讯作者：
Sheu, Shwu-Jiuan
中科院分区：
文献类型：
--
作者：
Lin, Jiun-Yo;Ho, Wan-Ling;Sheu, Shwu-Jiuan
为分析同一医学中心白内障摘除人工晶状体植入术后视网膜脱离(RD)的相关因素，对2000年1月至2010年6月在同一医学中心行白内障摘除人工晶状体植入术的患者进行回顾性分析。分析人口学特征、病史、眼轴长度(AL)、手术方法、术中、术后并发症、后囊膜切开术和RD病史。9184例患者中男性6464例，女性2720例，平均年龄71.8±9.1岁。累计7年RD率为0.84%。年龄小、眼轴长和术中并发症与人工晶状体眼RD的风险显著相关。尽管在统计学上不是整个组的显著影响因素，但对于以眼轴长度分层的高度近视患者来说，ND-YAG后囊膜切开术是一个显著的风险。在中度近视组中，术中并发症和后囊膜切开术均有增加RD风险的趋势，但只有术中并发症有显著差异，年龄小、近视和术中并发症是白内障摘除人工晶状体植入术后RD的重要危险因素。近视眼，尤其是高度近视眼，术后后囊膜切开术增加了发生有晶状体性RD的风险。在决定对近视眼进行白内障摘除和后囊切开术之前，尤其是年轻患者的屈光不正适应症，应该考虑人工晶状体视网膜脱离的风险。
To analyze the possible factors correlated with the development of retinal detachment (RD) after cataract extraction and intraocular lens (IOL) implantation in a single medical center.We performed a retrospective chart review of patients receiving cataract extraction and posterior chamber IOL implantation from January 2000 to June 2010 at one medical center. We analyzed demographic characteristics, medical history, axial length (AL), operation method, intraoperative and postoperative complications, Nd-YAG posterior capsulotomy and records for RD.The 9,184 patients analyzed included 6,464 males and 2,720 females, mean age 71.8 +/- 9.1 years. The cumulative 7-year RD rate was 0.84 %. Young age, long axial length and intraoperative complications were significantly associated with the risk of pseudophakic RD. Although not a statistically significant factor for the whole group, Nd-YAG posterior capsulotomy represented a significant risk in those with high myopia stratified by axial length. In moderate myopic group, both intra-operative complication and Nd-YAG posterior capsulotomy showed more tendencies to increase risk of RD, but only intra-operative complication had significant difference.Young age, myopia and intra-operative complications were significant risk factors for the development of RD after cataract extraction and IOL implantation. Post-operative Nd-YAG posterior capsulotomy led to more risk for psuedophakic RD in myopic eyes, especially high myopia. The risk of pseudophakic RD should be considered before deciding to perform cataract extraction and the following capsulotomy in myopic eyes, particularly those for refractive indication in young patients.