玻璃体切割术后早期高眼压的相关危险因素分析

Related risk factor analysis of high intraocular pressure after vitrectomy

目的:探讨玻璃体切割术后早期高眼压的相关危险因素。方法:选取2016-06/2018-12在我院行玻璃体切割术的患者进行回顾性分析,记录患者一般资料、手术前后眼压及手术相关资料,进行单因素及Logistic多因素回归分析玻璃体切割术后早期高眼压的危险因素。结果:患者159眼中49眼发生术后早期高眼压,发生率为30.8%。性别及年龄对玻璃体切割术后早期高眼压的发生无显著影响(P=0.699、0.416)。玻璃体切割术后早期高眼压与硅油填充、联合白内障手术、全视网膜激光光凝及术后玻璃体出血密切相关,差异均有统计学意义(P<0.05)。Logistic回归分析显示,硅油填充、联合白内障手术、全视网膜光凝及术后玻璃体出血是影响术后早期高眼压发生的独立危险因素(P<0.05)。结论:玻璃体切割术后早期高眼压是多因素共同作用的结果,与硅油填充、联合白内障手术、全视网膜光凝及术后玻璃体出血密切相关。

AIM:To explore the risk factors of high intraocular pressure after vitrectomy.METHODS:Patients who underwent vitrectomy in our hospital from June 2016 to December 2018 were retrospectively analyzed,general information of patients,intraocular pressure before and after operation and relevant information of operation were recorded,Univariate and Logistic multivariate regression analysis were performed to analyze the risk factors of high intraocular pressure after vitrectomy.RESULTS:Early high intraocular pressure occurred in 49 of 159 eyes(30.8%).Gender and age had no significant effect on the occurrence of high intraocular pressure after vitrectomy(P=0.699;P=0.416).Early high intraocular pressure after vitrectomy was closely correlated with silicone oil filling,combined cataract surgery,total retinal laser photocoagulation and vitreous hemorrhage after vitrectomy,with statistically significant differences(P<0.05).Logistic regression analysis showed that silicone oil filling,combined cataract surgery,total retinal photocoagulation and postoperative vitreous hemorrhage were independent risk factors affecting the occurrence of early postoperative high intraocular pressure(P<0.05).CONCLUSION:Early high intraocular pressure after vitrectomy is the result of multiple factors,which is closely related to silicone oil filling,combined cataract surgery,total retinal photocoagulation and vitreous hemorrhage after vitrectomy.