不同方式的白内障手术对老年患者术后眼内炎以及预后的不良影响

doi:10.3969/j.issn.1006-6233.2021.01.018

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Abstract Objective: To explore the adverse effects of different methods of cataract surgery on postoperative endophthalmitis and prognosis of elderly patients. Methods: From May 2017 to May 2019, 1636 patients (1645 eyes) with cataract treated in our hospital were selected as the research objects. According to the operation methods, they were divided into phacoemulsification group of 828 cases (843 eyes) and extracapsular enucleation group of 808 cases (802 eyes). Retrospective analysis was used to compare the clinical characteristics of cataract patients, and logistic regression was used to analyze the multi-factor influence of postoperative endophthalmitis in cataract patients. Results: There was no significant difference between the phacoemulsification group and the extracapsular enucleation group in the clinical indicators of gender, hypertension, diabetes, preoperative vision, and intraocular pressure (P>0.05). The age, diabetes, operation method, vitreous overflow, operation time, and incision length of patients with intraocular infection were significantly different (P<0.05). The age of cataract patients (≥65 years), diabetes, extracapsular resection, vitreous overflow, operation time (≥15min), incision length (≥5mm) are all risk factors for postoperative endophthalmitis in cataract patients (P<0.05 ). Conclusion: Both surgical methods can improve the intraocular pressure and visual acuity of cataract patients, but the overall effect of phacoemulsification is better than traditional surgical methods, which greatly improves the incidence of postoperative endophthalmitis.

Key words： Cataract Elderly patients After surgery Endophthalmitis

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2021.01.018 OR http://www.hbyxzzs.cn/EN/Y2021/V27/I1/79

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