分析原发性急性闭角型青光眼合并白内障超乳术后的屈光误差及其相关影响因素  

Analysis of Refractive Error and Related Influencing Factors After Primary Acute Angle-closure Glaucoma Complicated with Cataract Phacoemulsification

作　　者：戴倩影 刘玉梅 李始群 DAI Qianying;LIU Yumei;LI Shiqun(Department of Ophthalmology,Yangjiang People’s Hospital,Yangjiang,Guangdong,529500)

机构地区：[1]阳江市人民医院眼科,广东阳江529500

出　　处：《智慧健康》2022年第29期53-56,共4页Smart Healthcare

摘　　要：目的对原发性急性闭角型青光眼合并白内障超乳术后的屈光误差及其相关影响因素进行分析。方法对阳江市人民医院2020年1月-2021年12月收治的100例白内障患者临床资料进行回顾性分析,根据其是否合并发生原发性急性闭角型青光眼将其分为对照组(n=46,未合并原发性急性闭角型青光眼)和观察组(n=54,合并原发性急性闭角型青光眼),两组患者手术方案均为白内障超声乳化术,对其手术治疗后的屈光误差进行观察对比,同时比较两组术前、术后各项生物参数的组内和组间变化,分析术后生物参数和术后屈光误差的关联性。结果相较于观察组,对照组平均屈光误差明显更小,同时近视屈光误差构成比明显高于远视屈光误差构成比,差异均有统计学意义(P<0.05)。相较于术前,观察组术后眼轴长度明显变短(P<0.05),对照组术后眼轴长度和术前比较无明显差异(P>0.05);相较于术前,观察组和对照组术后前房深度均明显增加(P<0.05);相较于术前,观察组和对照组术后角膜曲率和术前比较均无明显差异(P>0.05)。相较于观察组,对照组手术前后眼轴变化量以及手术前后前房深度加深量明显更小(P<0.05),对照组手术前后角膜曲率变化量和观察组比较无明显差异(P>0.05)。术后眼轴长度和术后屈光误差呈负相关(P<0.05),术后前房深度和术后屈光误差呈负相关(P<0.05)。结论原发性急性闭角型青光眼合并白内障患者超乳术后的屈光误差要明显大于单纯白内障患者,同时两种疾病合并后术后容易呈远视漂移,患者术后眼轴变短以及前房深度增加是影响其术后屈光误差的主要因素。Objective To analyze the refractive error and its related influencing factors after primary acute angle-closure glaucoma combined with cataract phacoemulsification.Methods The clinical data of 100 cataract patients admitted to our hospital from January 2020 to December 2021 were retrospectively analyzed,and according to whether they had primary acute angle-closure glaucoma,they were divided into the control group(n=46,without primary acute angle-closure glaucoma)and observation group(n=54,combined with primary acute angle-closure glaucoma),and both groups of patients were operated with cataract phacoemulsification.The intra-group and inter-group changes of various biological parameters before and after surgery were compared between the two groups,and the correlation between postoperative biological parameters and postoperative refractive error was analyzed.Results Compared with the observation group,the average refractive error of the control group was significantly smaller,and the refractive error composition ratio of myopia was significantly higher than that of hyperopia,and the differences were statistically significant(P<0.05).Compared with preoperative,the postoperative axial length of the observation group was significantly shorter(P<0.05),and there was no significant difference between the postoperative and preoperative axial length of the control group(P>0.05).The depth of the anterior chamber was significantly increased in both the observation group and the control group after operation(P<0.05).Compared with the observation group,the changes of the eye axis before and after the operation and the depth of the anterior chamber before and after the operation were significantly smaller in the control group(P<0.05).There was a negative correlation between postoperative axial length and postoperative refractive error(P<0.05),and a negative correlation between postoperative anterior chamber depth and postoperative refractive error(P<0.05).Conclusion The refractive error of patients with primary acute angle-clos

关 键 词：原发性急性闭角型青光眼 白内障 超乳术 屈光误差 影响因素 

分 类 号：R779.6[医药卫生—眼科]