原发性孔源性视网膜脱离患者对侧眼周边视网膜病变的临床观察  

Clinical observation of peripheral retinopathy in the fellow eye of patients with primary rhegmatogenous retinal detachment

作　　者：邓先明[1] 王文战[1] Deng Xianming;Wang Wenzhan(Department of Ophthalmology,the First Affliated Hospital of Zhengzhou University,Henan Provincial Ophthalmic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼科河南省眼科医院,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2024年第4期297-301,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察原发性孔源性视网膜脱离患者对侧眼周边视网膜病变的临床特点及相关影响因素。方法回顾性病例对照研究。连续纳入2019年1月至2023年10月郑州大学第一附属医院确诊的单眼发病原发性孔源性视网膜脱离患者461例。对侧眼经充分扩瞳后行全视网膜镜等检查记录的周边视网膜病变包括格子样变性、囊样病变、视网膜裂孔及视网膜浅脱离的数量及性质。以对侧眼有、无周边视网膜病变分两组,有周边视网膜病变组(A组)238例和无周边视网膜病变组(B组)223例。比较两组间患者年龄、性别、眼别、对侧眼眼轴长度,采用多因素Logistic回归分析对侧眼发生周边视网膜病变的相关因素。结果本研究中全视网膜镜等检查结果238例原发性孔源性视网膜脱离患者对侧眼发生周边视网膜病变(51.6%,238/461),其中周边视网膜病变位于颞上象限129眼、颞下象限87眼;鼻上象限31眼,鼻下象限16眼。两组患者的临床特征相比,A组患者眼轴更长、年龄偏小,差异均有统计学意义(均P<0.001),而在性别、眼别两组差异无统计学意义(P=0.063、0.298)。多因素Logistic回归分析显示,对侧眼周边视网膜病变的发生与眼轴长度呈显著正相关(OR=1.19,95%CI:1.073~1.323,P=0.001),与年龄呈负相关(OR=0.98,95%CI:0.966~0.995,P=0.008),而与性别及眼别均无明显相关性(P=0.103,P=0.307)。结论原发性孔源性视网膜脱离患者对侧眼周边视网膜病变的发病率较高,以颞侧居多。对侧眼周边视网膜病变的发生随着眼轴长度的增长而升高,随着年龄的增长而降低。ObjectiveTo observe the characteristics and relevant influencing factors of peripheral retinopathy in the fellow eye of patients with primary rhegmatogenous retinal detachment.MethodsThis was a retrospective case control study.A total of 461 unilateral cases with primary rhegmatogenous retinal detachment in Zhengzhou University First Affiliated Hospital from Jan.2019 to Oct.2023 were included consecutively.Panretinoscope examination was performed on the fellow eye at cycloplegic status.Quantity and characteristics of peripheral retinopathy of grid degeneration,cystic lesions,retinal tears and shallow retinal detachment were recorded.Patients were divided into the two groups based on the presence or absence of peripheral retinopathy in the fellow eye.There were 238 cases in peripheral retinopathy group as group A and 223 cases in non-peripheral retinopathy group as group B.The age,gender,eye,and axial length of the fellow eye of patients between the two groups were compared.Multivariate logistic regression analysis was used to identify the relevant factors for peripheral retinopathy in the fellow eye.ResultsIn this study,238(51.6%,238/461)patients with primary rhegmatogenous retinal detachment were examined with occurrence of peripheral retinopathy in the fellow eye by using panretinoscope.Peripheral retinopathy in the supratemporal quadrant,infratemporal quadrant,nasal superior quadrant and nasal inferior quadrant were found in 129 eyes,87 eyes,31 eyes and 16 eyes,respectively.The clinical characteristics of the two groups showed that the group with group A had a longer axial length and younger age compared with group B,and the differences were statistically significant(all P<0.001),while there was no statistically significant difference in gender and eye(P=0.063,0.298).Multivariate logistic regression analysis showed that the occurrence of peripheral retinopathy in the fellow eye was significantly positively correlated with axial length(OR=1.19,95%CI:1.073-1.323,P=0.001),and negatively correlated with age(OR=0.9

关 键 词：视网膜脱离 孔源性 对侧眼 眼轴 长度 病变 周边视网膜 年龄 

分 类 号：R774.1[医药卫生—眼科]