|
|
|
| Influential Factors of Anterior Chamber Depth and Anterior Chamber Exudation After Phacoemulsification and IOL Implantation |
| WANG Fei, et al |
| The Affiliated Hospital of Yan'an University, Shannxi Xian 71600, China |
|
|
|
|
Abstract Objective: To investigate the changes of anterior chamber depth (ACD) after phacoemulsification cataract extraction (PE) combined with intraocular lens (IOL) implantation, and to analyze the influencing factors of anterior chamber (AC) exudation.Methods: The clinical data of 315 cataract patients (342 eyes) who underwent PE combined with IOL implantation in our hospital from January 2016 to December 2018 were selected, and the patients were divided into two groups according to whether AC exudation occurred after surgery.There were 19 patients (21 eyes) in the AC exudative group and 296 patients (321 eyes) in the AC non-exudative group.The ACD changes of cataract patients before and after 1 day, 1 week, 1 month, and 2 months were compared, and the influencing factors of AC exudation were analyzed by binary logistic regression.Results: The ACD at different time points after surgery was significantly higher than that before surgery, and the ACD at 2 months after surgery was significantly lower than that at 1 day, 1 week, and 1 month after surgery, with significant differences (P<0.05).As to intraoperative pupil diameter, history of alcohol abuse, smoking history, history of hypertension, history of heart disease, history of diabetes, history of prostatic hyperplasia, history of rheumatoid arthritis in the AC exudation group, the difference was not significant in the AC non-exudation group, which was not an influencing factor (P>0.05).High myopia, preoperative intraocular pressure (IOP), glaucoma, preoperative visual acuity, intracapsular rupture of the lens (PCR), and ultrasound cumulative energy, the composite parameters (AECP), uveitis, and lens nucleus classification were significantly different between the groups, all of which were factors influencing AC exudation (P<0.05).By binary logistic analysis, high myopia, preoperative IOP>21mmHg, glaucoma, intraoperative PCR, ultrasound AECP>7.25 (% × min), uveitis, and lens nucleus grading ≥ Ⅳ are risk factors for AC exudation ( P<0.05).Conclusion: ACD gradually increased after surgery, and it was close to normal 2 months after surgery.For patients with risk factors for postoperative AC exudation, preventive measures should be taken and treated in a timely manner.
|
|
|
|
|
|
[1] 贺新,刘宁.不同手术治疗方式对青光眼合并白内障患者视力眼压散光度及并发症的影响[J].河北医学,2019,25(3):555~559.
[2] Meier P G, Majo F, Otheningirard P, et al. Refractive outcomes and complications after combined copolymer phakic intraocular lens explantation and phacoemulsification with intraocular lens implantation.[J]. 2017, 43(6):748~753.
[3] 王佼佼,韩茜,张楠,等.ICL联合Trans-PRK治疗超高度近视患者的疗效及对角膜内皮细胞密度的影响[J].海南医学院学报,2019,25(13):1011~1015.
[4] 万婷婷,张红,胡竹林.IOL睫状沟植入联合IOL光学部周边后囊孔嵌顿术对儿童外伤性白内障的疗效观察[J].中华实验眼科杂志,2018,36(6):454~458.
[5] Lundstrom M, Dickman M, Henry Y, et al. Risk factors for refractive error after cataract surgery: analysis of 282 811 cataract extractions reported to the european registry of quality outcomes for cataract and refractive surgery.[J]. 2017, 43(12):1549~1556.
[6] 边建军,郭陈煜,周超.不同切口大小超声乳化术联合玻璃体切割术治疗老年性白内障合并黄斑病变[J].中国医师进修杂志,2018,41(2):158~162.
[7] Nath T, Roy S S, Kumar H, et al. Prevalence of steroid-induced cataract and glaucoma in chronic obstructive pulmonary disease patients attending a tertiary care center in india.[J]. 2017, 6(1):28~32.
[8] 吴胜卫,孙冉,张健,等伴有葡萄膜炎的白内障术后药物治疗的效果[J].中华眼外伤职业眼病杂志,2019,41(5):337~343.
[9] 薛娴,罗素明,何志坚,等.125I粒籽源植入中职业人员眼晶状体和手部受照剂量分析[J].中华放射医学与防护杂志,2018,38(5):368~373. |
|
|
|
2020, Vol. 26 
