摘要
目的探讨白内障术后早期玻璃体后脱离(PVD)发生的危险因素。方法回顾性分析2018年2月至2019年10月我院眼科收治的112例(146只眼)白内障手术患者的临床资料。所有患者均于术前、术后1个月接受眼科检查,根据术后1个月是否发生PVD将患眼分为PVD组(n=45),平均年龄(71.80±12.99)岁和非PVD组(n=101),平均年龄(60.91±7.71)岁。对各项临床指标进行单因素分析,记录影响PVD发生的相关因素,对其进行Logistic多元回归分析。结果Logistic多元回归分析结果显示,女性、年龄>60岁、眼轴长度>25 mm、眼球前房深度(ACD)<2 mm、高度近视是白内障术后早期PVD发生的独立危险因素(P﹤0.05)。结论白内障手术后发生PVD的风险较大,与性别、年龄、眼轴长度、ACD、高度近视等多个因素相关,临床上应予以重视。
Objective To explore the risk factors for early posterior vitreous detachment(PVD)after cataract surgery.Methods The clinical data of 112 patients(146 eyes)who underwent cataract surgery in the ophthalmology department of our hospital from February 2018 to October 2019 were retrospectively analyzed.All patients underwent ophthalmic examinations before the surgery and at 1 month after the surgery.Eyes were divided into the PVD group(n=45,average age=71.80±12.99 years)and the non-PVD group(n=101,average age=60.91±7.71 years)according to whether PVD occurred at 1 month after the surgery.Univariate analysis was performed on each clinical indicator,and the relevant factors affecting PVD occurrence were recorded.Logistic multiple regression analysis was performed on these factors.Results Logistic multiple regression analysis showed that female,age≥60 years,ocular axial length≥25 mm,anterior chamber depth(ACD)≤2 mm and high myopia were independent risk factors for early PVD after cataract surgery(P<0.05).Conclusions The risk of PVD after cataract surgery is high,and is related to gender,age,ocular axial length,ACD,high myopia and other factors,which warrants attention during clinical practice.
作者
董怡然
刘家佳
温跃春
柯根杰
朱子诚
刘广源
Dong Yiran;Liu Jiajia;Wen Yuechun;Ke Genjie1;Zhu Zicheng;Liu Guangyuan(Department of Ophthalmology,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China;Department of Ophthalmology,Anhui Medical University,Hefei 230001,China)
出处
《临床眼科杂志》
2020年第4期326-329,共4页
Journal of Clinical Ophthalmology
基金
安徽省自然科学基金面上项目(编号:1508085MH188)
安徽省教育厅教研项目(编号:2016JYXM0546)。
关键词
白内障手术
玻璃体后脱离
危险因素
高度近视
多元回归分析
Cataract surgery
Posterior vitreous detachment
Risk factors
High myopia
Multivariate regression analysis
