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首页> 外文期刊>Journal of refractive surgery >Retinal detachment in myopic eyes after phakic intraocular lens implantation.
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Retinal detachment in myopic eyes after phakic intraocular lens implantation.

机译：有晶状体人工晶状体植入术后近视眼视网膜脱离。

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摘要

PURPOSE: To analyze the risk of retinal detachment in highly myopic patients who underwent implantation of phakic intraocular lenses (PIOLs). METHODS: In a retrospective, non-comparative, interventional case series, the occurrence of retinal detachment was analyzed in 522 consecutive highly myopic eyes (323 patients) that underwent PIOL implantation. Treatment and results were reviewed. Parameters evaluated were best corrected visual acuity before and after retinal detachment surgery and time between refractive surgery and retinal detachment. RESULTS: Fifteen (2.87%) eyes presented with retinal detachment after PIOL implantation, with a mean time between surgery and detachment of 24.4 +/- 24.4 months (range: 1 to 92 months). The risk of retinal detachment in patients with high myopia corrected by PIOL implantation was 0.57% at 3 months, 1.64% at 12 months, 2.73% at 36 months, and 4.06% at 92 to 145 months (Kaplan-Meier analysis). A comparative study between the group of patients with retinal detachmentand the remaining patients without retinal detachment was performed. Differences were found in axial length (30.65 +/- 1.97 vs 29.51 +/- 2.02; P=.028, one factor-analysis of variance test). CONCLUSIONS: The risk of retinal detachment in eyes implanted with phakic lenses for the correction of high myopia is higher in eyes with axial length >30.24 mm.
机译：目的：分析高度近视的有晶状体人工晶状体（PIOLs）植入术后视网膜脱离的风险。方法：在一项回顾性，非比较性介入病例系列中，分析了522例接受PIOL植入的连续高度近视眼（323例）中视网膜脱离的发生。回顾治疗和结果。评估的参数是视网膜脱离手术前后以及屈光手术和视网膜脱离之间的时间的最佳矫正视力。结果：PIOL植入后有十五只（2.87％）的眼睛出现视网膜脱离，平均到手术与脱离之间的时间为24.4 +/- 24.4个月（范围：1到92个月）。经PIOL植入矫正的高度近视患者视网膜脱离的风险在3个月时为0.57％，在12个月时为1.64％，在36个月时为2.73％，在92至145个月时为4.06％（Kaplan-Meier分析）。进行了一组视网膜脱离患者与其余未发生视网膜脱离的患者之间的比较研究。在轴向长度上发现差异（30.65 +/- 1.97与29.51 +/- 2.02; P = .028，方差检验的一项因素分析）。结论：眼轴长度> 30.24 mm的眼睛中，植入有晶状体晶状体以矫正高度近视的眼睛发生视网膜脱离的风险更高。

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