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首页> 外文期刊>British journal of ophthalmology >Early transient intraocular pressure spike after cataract surgery in highly myopic cataract eyes and associated risk factors
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Early transient intraocular pressure spike after cataract surgery in highly myopic cataract eyes and associated risk factors

机译：早期瞬态眼压尖端在高度近视性白内障眼科和相关危险因素中的白内障手术后

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摘要

To investigate the incidence of the early transient intraocular pressure (IOP) spike after cataract surgery in eyes with highly myopic cataract (HMC) and associated risk factors.Consecutive patients treated with phacoemulsification were recruited. IOP was measured before and 1?day, 3 days, 1?week and 3 months after surgery. Axial length (AL) and anterior chamber depth (ACD) were recorded, and optic disc tilt, rotation and beta-zone peripapillary atrophy (β-PPA) were measured from fundus photographs taken 1?week after surgery. Backward stepwise multiple linear regression was used to investigate the risk factors for early transient IOP spike in the HMC group.Finally, 94 eyes of 94 HMC patients and 67 eyes of 67 age-related cataract (ARC) controls were included in analysis. The incidence of early IOP spike was 10% in the ARC group and 28% in the HMC group (OR=3.277, p0.05) at 1?day after surgery. In the HMC group with IOP spikes, more males were seen and affected eyes showed longer AL, shallower ACD, greater optic disc tilt, and larger β-PPA than those without (all p0.05). Multivariate analysis showed that sex, AL, ACD, and area of β-PPA were significantly associated with an early transient IOP spike in HMC eyes (all p0.05).Highly myopic eyes are more susceptible to early transient IOP spike after cataract surgery, and male sex, longer AL, shallower ACD, and greater β-PPA are associated risk factors.NCT02182921.
机译：探讨早期瞬态眼压（IOP）穗在具有高度近视性白内障（HMC）的白内障手术中的发病率和相关的危险因素。招募过沉重乳化治疗的可治疗患者。以前测量IOP，1？日，3天，1？周和手术后3个月。记录轴向长度（Al）和前房深度（ACD），并从手术后1次拍摄的眼底照片测量光盘倾斜，旋转和β-PPA）。向后逐步多次线性回归用于研究HMC组早期瞬态IOP峰值的危险因素。最后，94名HMC患者的94只眼睛和67只相关性白内障（ARC）对照的67只眼睛。弧菌早期IOP穗的发病率为10％，在手术后1次HMC组（或= 3.277，P <0.05）中的28％。在具有IOP尖峰的HMC组中，看到更多的雄性并影响眼睛展示较长的Al，较浅的ACD，更大的光盘倾斜和较大的β-PPA（所有P <0.05）。多变量分析表明，β-PPA的性别，Al，ACD和面积与HMC眼中的早期瞬时IOP峰值显着相关（所有P <0.05）。白内障手术后，高近视眼睛更容易受早期瞬态IOP穗的影响。和男性性别，较长的Al，较浅的ACD和更高的β-PPA是相关的风险因素。NCT02182921。

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