期刊文献+

高度近视白内障患者术后视力恢复情况的影响因素分析

Influencing factors analysis of postoperative visual acuity recovery in patients with high myopia and cataract
下载PDF
导出
摘要 目的研究影响高度近视白内障患者术后视力恢复情况的危险因素。方法选择本院2017年12月至2020年12月收治的高度近视合并白内障行白内障摘除术患者80例(110眼),观察患者术后6月最佳矫正视力,以0.3为分界将患者分成两组,其中视力≥0.3为视力正常组(80眼)、视力<0.3为低视力组(30眼)。采用单因素分析两组临床资料,多因素Logistic回归分析相关危险因素。结果术后6月,80例患者110眼中低视力30眼(27.27%),视力正常80眼(72.73%)。单因素分析结果显示,低视力组者的眼轴长度长于视力正常组,角膜散光度则大于视力正常组,黄斑病变为漆裂纹、Fuchs斑、晶状体核硬度分级为Ⅳ~Ⅴ级、眼底病变程度为3~4级的患者占比高于视力正常组(P<0.05);多因素Logistic回归分析结果显示,眼轴长度(>30 mm)、角膜散光度(>1 D)、黄斑病变为漆裂纹、Fuchs斑、晶状体核硬度分级为Ⅳ~Ⅴ级、眼底病变程度为3~4级均为影响高度近视白内障患者术后视力恢复情况的独立危险因素(P<0.05)。结论眼轴长度(>30 mm)、角膜散光度(>1 D)、黄斑病变为漆裂纹、Fuchs斑、晶状体核硬度分级为Ⅳ~Ⅴ级、眼底病变程度为3~4级均为影响高度近视白内障患者术后视力恢复情况的独立危险因素,手术中需严格遵循安全摘除白内障的原则,改善高度近视白内障术后患者的预后情况。 Objective To study the risk factors that affect the postoperative visual recovery of patients with high myopia and cataract.Methods A total of 80 patients(110 eyes)with high myopia and cataract who underwent cataract extraction in our hospital from December 2017 to December 2020 were selected.The best corrected visual acuity of patients in the 6 months after the operation was recorded.The patients were divided into two groups by setting 0.3 as the boundary.The vision≥0.3 was recognized as the normal vision group(80 eyes),and the vision<0.3 was recognized as the low vision group(30 eyes).The single-factor analysis was used to analyze the clinical data of the two groups,and the multivariate logistic regression analysis was used to analyze the relevant risk factors.Results Six months after operation,among 80 cases(110 eyes),30 eyes(27.27%)had low vision and 80 eyes(72.73%)had normal vision.The results of single-factor analysis showed that the length of ocular axis in the low vision group was longer than that in the normal vision group,and the corneal astigmatism was greater than that in the normal vision group.The proportions of patients with macular lesions such as lacquer crack,Fuchs spot,lens nucleus hardness grade IV-V and fundus lesions grade 3-4 were higher than those in the normal vision group(P<0.05).The results of multivariate logistic regression analysis showed that axial length(>30mm),corneal astigmatism(>1D),macular lesions such as lacquer crack,Fuchs spot,lens nucleus hardness grade IV-V and fundus lesion grade 3-4 were independent risk factors affecting the visual acuity recovery in patients with high myopia and cataract(P<0.05).Conclusion Axial length(>30mm),corneal astigmatism(>1D),macular lesions such as lacquer crack,Fuchs spot,lens nucleus hardness grade IV-V and fundus lesion grade 3-4 are independent risk factors affecting postoperative visual acuity recovery in patients with high myopia and cataract.The principle of safe cataract extraction should be strictly followed in the operation to improve the prognosis of patients with high myopia and cataract after surgery.
作者 李树爱 彭玲 LI Shu-ai;PENG ling(People's Hospital of Yinan County,Linyi,Shandong 276300,China)
出处 《青岛医药卫生》 2021年第6期412-414,共3页 Qingdao Medical Journal
关键词 白内障 近视 白内障超声乳化 人工晶状体植入术 预后 视力恢复 Cataract Myopia Cataract phacoemulsification Intraocular lens implantation Prognosis Visualacuity recovery
  • 相关文献

参考文献7

二级参考文献62

共引文献112

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部