中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
11期
855-858
,共4页
董晓云%吉秀祥%李霞%雷代坤
董曉雲%吉秀祥%李霞%雷代坤
동효운%길수상%리하%뢰대곤
前房角关闭,原发性%虹膜切除术,周边%青光眼
前房角關閉,原髮性%虹膜切除術,週邊%青光眼
전방각관폐,원발성%홍막절제술,주변%청광안
Angle closure,primary (PAC)%Iridectomy,peripheral (PI)%Glaucoma
目的 探讨原发性前房角关闭(PAC)者行周边虹膜切除术(PI)后,前房角粘连继续发展的危险因素.方法 采用病例对照研究方法,对就诊我院的116例(116眼)50岁以上诊断为PAC并行PI者进行回顾研究,按照前房角粘连进展与否分为观察组和对照组,对患者术前术后的指标进行比较分析.结果 本研究中PAC术后平均3年前房角粘连进展率为23.3％ (27/116),研究发现PAC者高褶虹膜构型(比值比,5.312; 95％置信区间,1.56-24.42,P =0.037)、急性前房角关闭(比值比,3.217;95％置信区间,1.13-19.87,P=0.023)以及初诊高眼压(比值比,1.312; 95％置信区间,0.067-3.142,P=0.043)为前房角粘连(PAS)进展的危险因素.结论 PAC行PI手术后仍有相当比例的患者前房角粘连继续发展,仍需密切随访,尤其对术前存在有高褶虹膜构型、急性前房角关闭和初诊高眼压的患者,更需要告知患者随访的重要性.
目的 探討原髮性前房角關閉(PAC)者行週邊虹膜切除術(PI)後,前房角粘連繼續髮展的危險因素.方法 採用病例對照研究方法,對就診我院的116例(116眼)50歲以上診斷為PAC併行PI者進行迴顧研究,按照前房角粘連進展與否分為觀察組和對照組,對患者術前術後的指標進行比較分析.結果 本研究中PAC術後平均3年前房角粘連進展率為23.3％ (27/116),研究髮現PAC者高褶虹膜構型(比值比,5.312; 95％置信區間,1.56-24.42,P =0.037)、急性前房角關閉(比值比,3.217;95％置信區間,1.13-19.87,P=0.023)以及初診高眼壓(比值比,1.312; 95％置信區間,0.067-3.142,P=0.043)為前房角粘連(PAS)進展的危險因素.結論 PAC行PI手術後仍有相噹比例的患者前房角粘連繼續髮展,仍需密切隨訪,尤其對術前存在有高褶虹膜構型、急性前房角關閉和初診高眼壓的患者,更需要告知患者隨訪的重要性.
목적 탐토원발성전방각관폐(PAC)자행주변홍막절제술(PI)후,전방각점련계속발전적위험인소.방법 채용병례대조연구방법,대취진아원적116례(116안)50세이상진단위PAC병행PI자진행회고연구,안조전방각점련진전여부분위관찰조화대조조,대환자술전술후적지표진행비교분석.결과 본연구중PAC술후평균3년전방각점련진전솔위23.3％ (27/116),연구발현PAC자고습홍막구형(비치비,5.312; 95％치신구간,1.56-24.42,P =0.037)、급성전방각관폐(비치비,3.217;95％치신구간,1.13-19.87,P=0.023)이급초진고안압(비치비,1.312; 95％치신구간,0.067-3.142,P=0.043)위전방각점련(PAS)진전적위험인소.결론 PAC행PI수술후잉유상당비례적환자전방각점련계속발전,잉수밀절수방,우기대술전존재유고습홍막구형、급성전방각관폐화초진고안압적환자,경수요고지환자수방적중요성.
Objective To study the risk factors of peripheral anterior synechiae(PAS) progression in primary angle closure(PAC) patients after peripheral iridectomy (PI).Methods A case-control study was conducted.116 eyes of 116 patients older than 50 years diagnosed with PAC accepted PI were retrospectively studied.According to the PAS progression or not,subjects were divided into two groups and the associated preoperative or post-operative values were evaluated.Results The rate of progression of PAS was 23.3％ (27/116) in three years.The presence of plateau iris (odds ratio,5.312 ; 95％ CI,1.56 ～ 24.42,P =0.037),type of acute angle closure (odds ratio,3.217 ; 95 ％ CI,1.13 ～ 19.87,P =0.023) and higher intraocular pressure(IOP) at the first visit (odds ratio,1.312; 95％CI,0.067 ～3.142,P =0.043) were risk factors of PAS progression.Conclusion A relatively high proportion of patients with PAC still have progressed after PI.Close follow-up is needed.Especially in those with plateau iris,acute angle closure and high IOP,it' s never too much to emphasize the importance of following up.
