白内障患者术后发生角膜水肿的影响因素分析

Analysis on the Influencing Factors of Corneal Edema After Surgery in Patients with Cataract

目的分析白内障患者术后发生角膜水肿的影响因素。方法回顾性分析96例白内障手术患者的临床资料,统计术后角膜水肿发生情况,分析术后角膜水肿的影响因素。结果96例白内障患者术后角膜水肿发生率为15.63%。单因素和多因素Logistic回归分析显示,年龄≥60岁、Emery晶状体核硬度分级Ⅳ级、合并糖尿病、合并高血压、术中玻璃体溢出、前房深度浅、灌注时间长是白内障患者术后发生角膜水肿的危险因素(OR>1,P<0.05)。结论白内障患者术后角膜水肿的发生与其年龄≥60岁、Emery晶状体核硬度分级Ⅳ级、合并糖尿病、合并高血压、术中玻璃体溢出、前房深度浅、灌注时间长等因素有关。

Objective To analyze the influencing factors of corneal edema after surgery in patients with cataract.Methods The clinical data of 96 patients with cataract surgery were retrospectively analyzed.The occurrence of postoperative corneal edema was counted,and the influencing factors of postoperative corneal edema were analyzed.Results The incidence of postoperative corneal edema in 96 patients with cataract was 15.63%.Univariate analysis and multivariate Logistic regression analysis showed that age≥60 years,Emery lens nucleus hardness grade IV,diabetes,hypertension,intraoperative vitreous overflow,shallow anterior chamber depth,and long perfusion time were risk factors for the occurrence of corneal edema in cataract patients after surgery(OR>1,P<0.05).Conclusions The occurrence of postoperative corneal edema in cataract patients is related to factors such as age≥60 years,Emery lens nucleus hardness grade IV,diabetes,hypertension,intraoperative vitreous overflow,shallow anterior chamber depth,and long perfusion time.