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首页> 外文期刊>Investigative ophthalmology & visual science >Visual and anatomic outcomes after intraoperative complications in resident-performed phacoemulsification surgery
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Visual and anatomic outcomes after intraoperative complications in resident-performed phacoemulsification surgery

机译：常驻超声乳化术术中并发症发生后的视觉和解剖结果

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Purpose : To review visual and anatomic outcomes after complicated cataract surgery in a teaching institution. Methods : IRB approved non-comparative consecutive case series of complicated phacoemulsification surgeries performed by ophthalmology residents under direct supervision of the attendings between January 1, 2006 and December 31, 2014. Results : 133 eyes were analyzed. The mean final BCVA was 20/40. BCVA improved by a mean of 8 letters at 1 month (N=128; p=0.001), 16 letters at 3 months (N=117; p0.001), 14 letters at 6 months (N=79; p0.001), and 4 letters at 12 months (N=34; p=0.37). The mean OCT central subfoveal thickness (CST) increased by 36 ??m (N=45; p0.001), 27 ??m (N=33; p=0.015), 45 ??m (N=23; p=0.004), and 7.7 ??m (N=10; p=0.62) at 1, 3, 6, and 12 months. BCVA increased by 3 lines in 41%, 56%, 57%, and 44% of eyes at 1, 3, 6, and 12 months. Sixty (45%) eyes required a secondary surgical procedure. Normal fovea was present in 66%, 59%, 39%, 44%, 33% OCTs obtained at preoperative, 1, 3, 6, and 12 months visits. Intraretinal fluid was present in 1.5%, 3.6%, 2.2%, and 9.5% eyes at 1, 3, 6, and 12 months. Visual acuity change did not correlated with the macular thickening seen on the OCT at any time point. Conclusions : A high proportion of eyes with complicated cataract extraction history requires additional surgical procedures however the visual gains are substantial. This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
机译：目的：回顾教学机构进行复杂的白内障手术后的视觉和解剖结果。方法：在2006年1月1日至2014年12月31日期间，IRB批准了由眼科住院医师在直接就诊者的直接监督下进行的非对比性连续超声乳化白内障手术的病例系列。结果：分析了133眼。平均最终BCVA为20/40。 BCVA在1个月时平均提高了8个字母（N = 128; p = 0.001），在3个月时平均提高了16个字母（N = 117; p <0.001），在6个月时提高了14个字母（N = 79; p <0.001） ，以及12个月时的4个字母（N = 34; p = 0.37）。 OCT中心凹下中央平均厚度（CST）增加36Ω·m（N = 45; p <0.001），27Ω·m（N = 33; p = 0.015），45Ω·m（N = 23; p = 0.004）和7.7？m（N = 10; p = 0.62）在1、3、6和12个月时。在1、3、6、12个月时，BCVA在41％，56％，57％和44％的眼睛中增加了3条线。六十（45％）眼需要二次手术。术前，1、3、6和12个月访视时获得的OCT中，正常中央凹出现率分别为66％，59％，39％，44％，33％。在1、3、6和12个月时，有1.5％，3.6％，2.2％和9.5％的眼睛存在视网膜内积液。在任何时间点，视力变化与OCT上所见的黄斑增厚均不相关。结论：高比例的白内障摘除史复杂的眼睛需要额外的手术程序，但视力却是可观的。这是提交给2016年5月1-5日在华盛顿州西雅图市举行的2016 ARVO年会的摘要。

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