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首页> 外文期刊>Retina >Anterior chamber collapse following vitreoretinal surgery with gas tamponade in aphakic eyes: incidence and risk factors.
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Anterior chamber collapse following vitreoretinal surgery with gas tamponade in aphakic eyes: incidence and risk factors.

机译：无晶状体眼玻璃体视网膜手术加气填塞后前房塌陷：发生率和危险因素。

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摘要

PURPOSE: To report the risk factors associated with occurrence of anterior chamber collapse in aphakic eyes that underwent vitrectomy with gas tamponade. METHODS: A total of 314 eyes of 314 patients who underwent vitrectomy with gas tamponade and who were aphakic or were made aphakic intraoperatively were studied prospectively. Factors such as iris and pupillary integrity, depth of anterior chamber, gonioscopic grading, behavior of the anterior chamber on the operation table during fluid-air exchange, removal of crystalline lens or intraocular lens during surgery, and type of internal tamponade were noted. The anterior chamber was assessed postoperatively in supine and sitting position and with head bent forward. Statistical methods were used to identify risk factors for development of postoperative anterior chamber collapse using SPSS soft ware. RESULTS: Anterior chamber collapse occurred in 13 eyes (3.14%). Presence of preoperative shallow anterior chamber, removal of intraocular lens as a part of the procedure, occurrence of intraoperative anterior chamber collapse, and use of sulfur hexafluoride (SF6) were associated with higher risk of anterior chamber collapse postoperatively. CONCLUSIONS: The identification of potential risk factors in a given eye can alert the surgeon to the possibility of development of anterior chamber collapse postoperatively.
机译：目的：报告与气填塞行玻璃体切除术的无晶状体眼前房塌陷相关的危险因素。方法：前瞻性研究了314例行气填塞玻璃体切除术且无晶状体或术中无晶状体患者的314眼。注意诸如虹膜和瞳孔完整性，前房深度，角膜镜分级，在流体-空气交换期间在手术台上前房的行为，手术过程中晶状体或人工晶状体的去除以及内部填塞的类型等因素。术后评估前房的仰卧位和坐位，头部向前弯曲。使用SPSS软件，使用统计方法确定术后前房塌陷发生的危险因素。结果：13只眼发生前房塌陷（3.14％）。术前浅前房的存在，作为该过程一部分的人工晶状体的摘除，术中前房塌陷的发生以及六氟化硫（SF6）的使用与术后前房塌陷的风险较高相关。结论：在给定的眼睛中识别潜在的危险因素可以提醒外科医生术后前房塌陷的可能性。

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