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首页> 外文期刊>Journal of glaucoma >Novel Gonioscopy Score and Predictive Factors for Intraocular Pressure Lowering After Phacoemulsification
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Novel Gonioscopy Score and Predictive Factors for Intraocular Pressure Lowering After Phacoemulsification

机译：沉重乳化后眼压降低的新型冈镜分数和预测因子

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Purpose:To evaluate a novel gonioscopy score as a potential predictor for intraocular pressure (IOP) reduction after cataract surgery.Materials and Methods:This was a prospective study that included consecutive patients with or without glaucoma, either with open or narrow angles but without peripheral anterior synechiae, who underwent phacoemulsification. Eyes with intraoperative complications and secondary glaucoma were excluded. A preoperative gonioscopy score was created, summing the Shaffer gonioscopy grading in 4 quadrants (range, 0 to 16). To determine variables associated with IOP change at 6 months, univariate and multivariate linear mixed-effects regression analysis was performed adjusting for age, sex, and preoperative IOP.Results:In total, 188 eyes from 137 patients were enrolled. The mean age of the patients was 75.0 (8.5) years and the average preoperative IOP was 15.6 (+/- 3.6)mmHg with 0.7 (range, 0 to 4) glaucoma medications. The mean IOP reduction after phacoemulsification was 3.0 (+/- 2.6)mmHg at postoperative month 6. After multivariate analysis, preoperative IOP [=0.49 (0.41-0.58), P0.0001], gonioscopy score [=-0.17 (-0.24 to -0.09), P0.0001], anterior chamber depth (ACD) [=-0.88 (-1.64 to -0.14), P=0.02], and IOP/ACD ratio [=0.45 (0.07 to 0.83) P=0.021] were associated with IOP reduction at 6 months.Conclusions:Preoperative predictors for IOP reduction after cataract surgery were preoperative IOP, ACD, gonioscopy score, and IOP/ACD ratio. The IOP/ACD ratio and gonioscopy score can be easy parameters to obtain and may help clinicians to estimate the IOP reduction after phacoemulsification.
机译：目的：评估白内障手术后眼压（IOP）降低的新型GONIOSCOPY评分。材料和方法：这是一种前瞻性研究，包括连续有或没有青光眼的患者，无论是开放的还是狭窄的角度，都没有外围前期联合术，卫生术治术。没有排除术中并发症和次生青光眼的眼睛。创建了术前冈镜分数，将SHAFFER GONIOSCOPY分级在4个象限（范围，0到16）中求和。为了在6个月确定与IOP变化相关的变量，对年龄，性别和术前的IOP进行单变量和多变量线性混合效应回归分析。结果：137名患者的188只眼睛注册了188名患者。患者的平均年龄为75.0（8.5）岁，平均术前IOP为15.6（+/- 3.6）mmHg，0.7（范围为0至4）青光眼药物。术后月乳化剂后的平均IOP还原为术后第6.0（+/- 2.6）mmHg。多变量分析后，术前IOP [= 0.49（0.41-0.58），P <0.0001]，GONIOSCOPY得分[= -0.17（-0.24（-0.24） -0.09），P <0.0001]，前腔深度（ACD）[= -0.88（-1.64至-0.14），P = 0.02]和IOP / ACD比率[= 0.45（0.07至0.83）p = 0.021]在6个月内与IOP减少相关。结论：白内障手术后IOP降低的术前预测因子是术前IOP，ACD，GONIOSCOPY评分和IOP / ACD比率。 IOP / ACD比率和GONIOSCOPY分数可以容易地获得，并且可以帮助临床医生估计沉重乳化后的IOP还原。

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