高度近视眼白内障患者术后发生角膜水肿的危险因素及防治策略探讨

The risk factors of postoperative corneal edema in patients with high myopia and cataract

目的探讨高度近视眼白内障患者术后发生角膜水肿的危险因素及其防治策略。方法选取2018—2019年在联勤保障部队第九八〇医院进行高度近视眼白内障手术治疗患者254例,按照术后是否发生角膜水肿分为角膜水肿组(n=63)和未角膜水肿组(n=191),对术后发生角膜水肿的因素进行分析并提出防治策略。结果多因素Logistic回归分析结果显示:年龄、晶状体核硬度、手术切口靠前、后弹力层撕脱、长时间高灌注压、合并糖尿病是高度近视眼白内障患者术后发生角膜水肿的独立危险因素。结论高度近视眼白内障患者术后角膜水肿的发生率较高,年龄、晶状体核硬度、手术切口靠前、后弹力层撕脱、长时间高灌注压、合并糖尿病为其重要的危险因素,临床上应给予针对性预防和治疗。

Objective To investigate the risk factors and prevention strategies of postoperative corneal edema in patients with high myopia and cataract.Methods Select 254 patients who underwent high myopia cataract surgery in our hospital from 2018 to 2019.According to whether corneal edema occurred after the operation,they were divided into corneal edema group(n=63)and non-corneal edema group(n=191).The factors of postoperative corneal edema were analyzed and the prevention and treatment strategies were put forward.Results The results of multivariate logistic regression analysis showed:age,lens core hardness,surgical incision anterior,posterior elastic layer avulsion,long-term high perfusion pressure,combined diabetes is an independent risk factor for postoperative corneal edema in patients with high myopia and cataract.Conclusion The incidence of postoperative corneal edema in high myopia patients with cataract is higher;age,lens core hardness,surgical incision anterior and posterior elastic layer avulsion,long-term high perfusion pressure,combined with diabetes are high myopic cataract patients after surgery The important risk factors for corneal edema should be prevented and treated clinically.