Ocular hypertension after silicone oil filling surgery for high myopia: a case-control study.

IF 1.6 3区 医学 Q2 SURGERY
Xiaodan Lin, Shenghui Feng, Chunmei Chen, Yadan Xiong, Na Li, Ling Tong
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引用次数: 0

Abstract

Purpose: This study aims to examine the correlation between specific clinical parameters, such as axial eye length, and the onset of ocular hypertension "OH" following the use of silicone oil filling in patients with high myopia.

Method: In this retrospective analysis, we reviewed 214 eyes from 432 patients diagnosed with severe myopia, all of whom underwent vitrectomy and were treated with silicone oil filling. The study aimed to document the incidence and timing of postoperative ocular hypertension "OH" while assessing various factors, including demographic details, medical history, additional surgical interventions, and findings from supplementary examinations (such as axial length, silicone oil emulsification, and anterior chamber penetration). Binary logistic regression was employed as the primary statistical method to identify significant predictors and their relationship with "OH". This approach allowed for a comprehensive analysis of the impact of the duration of silicone oil presence in the eye on "OH" occurrence, providing a detailed understanding of the factors influencing post-surgical outcomes.

Result: The study revealed a statistically significant increase in postoperative axial length (29.21 ± 0.85 mm) compared to the preoperative length (28.31 ± 0.82 mm), corresponding to an incidence rate of 37.38% (80 cases) for "OH". Logistic regression analysis identified the following variables as significantly associated with an increased risk of "OH" post-silicone oil filling: scleral buckling, aphakic status, silicone oil emulsification, and silicone oil penetration into the anterior chamber. The odds ratios (OR) for these variables were 1.397, 0.672, 1.859, and 1.364, respectively, indicating their predictive value for "OH" risk.

Conclusion: The development of "OH" post-silicone oil filling is strongly correlated with changes in the anterior segment anatomy and the dynamics of aqueous humor flow, particularly in eyes without the natural lens. Recognizing these risk factors highlights the importance of thorough preoperative evaluation and individualized postoperative care to reduce the incidence of OH in patients with high myopia, thereby improving surgical outcomes.

高度近视硅油填充术后高眼压:一项病例对照研究。
目的:本研究旨在探讨高度近视患者使用硅油填充后眼轴长等特定临床参数与高眼压“OH”发生的相关性。方法:对432例重度近视患者214只眼进行回顾性分析,所有患者均行玻璃体切除术并充注硅油。本研究旨在记录术后高眼压“OH”的发生率和时间,同时评估各种因素,包括人口统计学细节、病史、额外的手术干预和补充检查的结果(如轴长、硅油乳化和前房穿透)。采用二元逻辑回归作为主要的统计方法来识别显著的预测因子及其与“OH”的关系。该方法可以全面分析硅油在眼内存在时间长短对“OH”发生的影响,为影响术后结果的因素提供详细的了解。结果:术后轴向长度(29.21±0.85 mm)较术前(28.31±0.82 mm)有统计学意义的增加,对应的“OH”发生率为37.38%(80例)。逻辑回归分析确定了以下变量与硅油填充后“OH”风险增加显著相关:巩膜屈曲、无晶体状态、硅油乳化和硅油渗入前房。这些变量的比值比(OR)分别为1.397、0.672、1.859和1.364,表明它们对OH风险的预测价值。结论:“OH”后硅油填充的发展与前段解剖结构和房水流动动力学的变化密切相关,特别是在没有天然晶状体的眼睛中。认识到这些危险因素,强调了术前全面评估和术后个性化护理的重要性,以减少高度近视患者OH的发生率,从而改善手术效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
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