The effect of axial length on pseudophakic retinal detachment

IF 3 3区 医学 Q1 OPHTHALMOLOGY
Joakim Thylefors, Rafi Sheikh, Gunnar Jakobsson
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Abstract

PurposeThe purpose of the study was to analyse the surgical management and outcome regarding axial length in the population affected by pseudophakic retinal detachment (PRD) 2015–2020.MethodThe patients included were from an observational cohort study of patients undergoing cataract surgery in the region of Skåne during 2015–2017. Data were retrieved from the Swedish National Cataract Register and cross‐referenced with cases of PRD in the same region from 2015 to 2020. The surgical method used and findings at follow‐up were recorded. The patients were stratified according to axial length (AL) to <25 mm, 25 ≤ n < 26.5 mm and ≥26.5 mm. The main outcome was primary success with one surgery apart from silicone oil removal. The secondary outcome was postoperative visual acuity.ResultsIn the whole study group of 58 624 cases, complete follow‐up data were available for 288 eyes. The median follow‐up time was 324 days, and primary operation was successful in 82.9% of these cases. The median visual acuity was 0.31 (LogMAR). In the stratification those with AL < 25 mm had a primary success of 75.8%, AL 25 ≤ n < 26.5 mm of 87.9% and ≥26.5 mm of 95.8%.ConclusionsThe primary anatomical success was 82.9% in the whole group of PRD but with stratification they had an increasing number of primary success with longer AL.
轴长对假性视网膜脱离的影响
研究目的:分析2015-2020年假性视网膜脱离(PRD)患者的手术管理和轴长结果。方法:纳入的患者来自一项观察性队列研究,研究对象是2015-2017年期间在斯科纳地区接受白内障手术的患者。数据取自瑞典国家白内障登记册,并与2015年至2020年同一地区的PRD病例进行交叉对比。采用的手术方法和随访结果均有记录。根据轴向长度(AL)对患者进行分层,分别为25毫米、25 ≤ n < 26.5毫米和≥26.5毫米。主要结果是除硅油去除外,一次手术的主要成功率。结果 在整个研究组的 58 624 个病例中,有 288 只眼睛获得了完整的随访数据。中位随访时间为 324 天,其中 82.9% 的病例初次手术成功。视力中位数为 0.31(LogMAR)。在分层中,AL < 25 mm 的病例初次手术成功率为 75.8%,AL 25 ≤ n < 26.5 mm 的病例初次手术成功率为 87.9%,≥26.5 mm 的病例初次手术成功率为 95.8%。
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来源期刊
Acta Ophthalmologica
Acta Ophthalmologica 医学-眼科学
CiteScore
7.60
自引率
5.90%
发文量
433
审稿时长
6 months
期刊介绍: Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.
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