白内障患者超声乳化术联合IOL植入术后囊袋收缩综合征发生的影响因素  

Factors influencing the occurrence of capsular contraction syndrome in cataract patients after phacoemulsification combined with intraocular lens implantation

作　　者：陈曦[1] 马海莹 南新帅 华欣[1] 赵明[1] 叶东升[1] 季河清[1] Chen Xi;Ma Haiying;Nan Xinshuai;Hua Xin;Zhao Ming;Ye Dongsheng;Ji Heqing(Department of Ophthalmology,Northern Jiangsu People's Hospital,Yangzhou 225001,Jiangsu Province,China)

机构地区：[1]江苏省苏北人民医院眼科,江苏省扬州市225001

出　　处：《国际眼科杂志》2025年第5期849-853,共5页International Eye Science

摘　　要：目的:分析白内障患者超声乳化术(Phaco)联合人工晶状体(IOL)植入术后囊袋收缩综合征(CCS)发生的影响因素。方法:回顾性研究。选取2021-01/2024-01我院信息系统中2900例2900眼白内障患者的资料信息,所有患者均采用Phaco联合IOL植入治疗,统计术后30 wk内CCS发生情况。根据是否发生CCS分为CCS组116例116眼和N-CCS组2784例2784眼。比较两组基本资料,并采用多因素Logistic回归分析白内障患者Phaco联合IOL植入后30 wk内发生CCS的影响因素。结果:Phaco联合IOL植入后30 wk内发生CCS共116例116眼,发生率4.00%。经单因素与多因素Logistic回归分析显示,合并糖尿病、高度近视、合并青光眼、眼轴长度(AL)>30 mm是白内障患者Phaco联合IOL植入术后发生CCS的危险因素(均P<0.05)。结论:白内障患者合并糖尿病、高度近视、青光眼、AL>30 mm将增加白内障患者Phaco联合IOL植入后30 wk内CCS发生风险,应引起重视。AIM:To analyze the influencing factors of capsular constriction syndrome(CCS)in cataract patients after phacoemulsification(Phaco)combined with intraocular lens(IOL)implantation.METHODS:Retrospective study.The data of 2900 cataract patients(2900 eyes)in our hospital’s information system from January 2021 to January 2024 were collected.All patients were treated with Phaco combined with IOL implantation,and the incidence of CCS within 30 wk after surgery was recorded.Patients were categorized into CCS(116 cases,116 eyes)and N-CCS group(2784 cases,2784 eyes)based on the occurrence of CCS.The basic data of the two groups were compared,and the influencing factors of CCS within 30 wk after Phaco combined with IOL implantation in cataract patients were analyzed by multivariate Logistic regression.RESULTS:Among 2900 patients(2900 eyes)included,116 cataract patients(116 eyes)developed CCS within 30 wk after Phaco combined with IOL implantation,with an incidence rate of 4.00%.The single factor and multi-factor Logistic regression analysis showed that the complicated diabetes,high myopia,complicated glaucoma,and axial length(AL)>30 mm were the risk factors for the occurrence of CCS after Phaco IOL implantation in cataract patients(all P<0.05).CONCLUSION:Attention should be paid to cataract patients with diabetes,high myopia,glaucoma and AL>30 mm,which will increase the risk of CCS within 30 wk after Phaco combined with IOL implantation in cataract patients.

关 键 词：白内障 超声乳化吸除 人工晶状体植入 囊袋收缩综合征 

分 类 号：R779.66[医药卫生—眼科]