白内障超声乳化手术对晚期青光眼患者临床预后的影响

IF 0.1 Q4 OPHTHALMOLOGY
B. Han, S. Baek
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引用次数: 0

摘要

目的:探讨晚期青光眼白内障手术的临床效果。方法:对行白内障手术的开角型青光眼患者随访1年的资料进行回顾性分析。晚期青光眼定义为术前视野检查平均偏差(MD) < -12 dB。轻度至中度青光眼(MD≥-12 dB)组作为对照组。比较两组患者1、3、6、12个月眼压(IOP)、术后视力(VA)、视野指数(MD和模式标准差)及抗青光眼药物用量的变化。结果:最终纳入进展组87只眼(87例),轻至中度组109只眼(109例)。术后1周至24个月,两组患者IOP均较术前下降(p < 0.05)。两组的IOP尖峰发生率相似(11%对13%,p = 0.199)。术后1个月、3个月、6个月、12个月、24个月两组平均IOP差异无统计学意义(p < 0.05)。两组术后1年VA均有改善,视野(VF)指数与术前无差异。手术后抗青光眼药物的使用数量减少,但仅在晚期青光眼组有显著性减少(p = 0.030)。结论:晚期和轻中度青光眼组白内障术后IOP和VF变化相似。VA改善,抗青光眼药物的数量减少。我们的研究结果表明,与其他不太严重的青光眼组相比,晚期青光眼患者的白内障手术可能提供相似的临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Phacoemulsification Cataract Surgery on the Clinical Outcomes of Advanced Glaucoma Patients
Purpose: To identify the clinical outcomes of cataract surgery in patients with advanced glaucoma.Methods: A retrospective chart review of open-angle glaucoma patients who underwent cataract surgery and were followed-up for 1 year was conducted. Advanced glaucoma was defined as a mean deviation (MD) < -12 dB on the preoperative visual field test. A group with mild-to-moderate glaucoma (MD ≥ -12 dB) served as the control group. Changes in intraocular pressure (IOP) at 1, 3, 6, and 12 months, and in the postoperative visual acuity (VA) as well as in the visual field indices (MD and the pattern standard deviation), and the number of antiglaucoma medications were compared.Results: Eighty-seven eyes (87 patients) of the advanced group and 109 eyes (109 patients) of the mild-to-moderate group were finally included. From 1 week to 24 months postoperatively, both groups evidenced IOP decreases compared to the preoperative values (both p < 0.05). The IOP spike prevalence was similar in the two groups (11% vs. 13%, p = 0.199). The mean IOP difference between the two groups was not significant at months 1, 3, 6, 12, or 24 postoperatively (all p > 0.05). Both groups evidenced VA improvements at 1 year postoperatively and the visual field (VF) indices did not differ from those before surgery. The numbers of antiglaucoma medications used decreased after surgery, but the decrease was significant only in the advanced glaucoma group (p = 0.030).Conclusions: The advanced and mild-to-moderate glaucoma groups evidenced similar IOP and VF changes after cataract surgery. The VA improved and the number of antiglaucoma medications decreased. Our findings suggest that cataract surgery for patients with advanced glaucoma may afford similar clinical outcomes compared to other less severe glaucoma groups.
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
126
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