目的 总结行超声乳化手术治疗的青年军人白内障的临床特点,并分析影响视力预后的因素。方法 回顾性研究31例(36眼)行超声乳化联合人工晶体置入术治疗的青年军人白内障患者的临床资料,将可能影响视力预后的因素纳入有序多分类logistic回归分析,筛选出视力预后的影响因素。结果 将是否有眼外伤史、玻璃体切除手术史、近视手术史、葡萄膜炎病史纳入有序多分类logistic回归分析,结果显示:眼外伤病史(OR=0.149)、玻璃体切除手术史(OR=0.059)是视力预后的危险因素,葡萄膜炎病史(OR=0.145)是视力预后的可疑危险因素。结论 青年军人白内障最常见的类型是外伤性白内障及玻璃体切除术后并发性白内障,均预后较差,平时应注意预防眼外伤及视网膜脱离的发生。
Abstract
Objective To summarize the clinical features of cataracts in young soldiers undergoing phacoemulsification in order to analyze the factors affecting the prognosis of visual acuity. Methods The clinical data on 31 young soldiers with cataracts (36 eyes) undergoing phacoemulsification was collected and retrospectively analyzed. The potential influencing factors of visual prognosis were included into Logistic regression analysis. Results Logistic regression analysis involving a history of ocular trauma, vitrectomy, myopia surgery and uveitis showed that a history of ocular trauma (OR=0.149) and vitrectomy (OR=0.059) were risk factors for visual prognosis, while a history of uveitis (OR=0.145) was a possible risk factor for visual prognosis. Conclusions Visual prognosis of traumatic cataracts and complicated cataracts secondary to vitrectomy, which are the most common types of cataracts in young soldiers, is poor, thus prevention of ocular trauma and retinal detachment is critical in normal times.
关键词
青年军人 /
白内障 /
超声乳化 /
临床特征
Key words
young soldiers /
cataract /
phacoemulsification /
clinical features
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参考文献
[1] 何鲜桂, 张 睿, 李 亚,等. 我国消除白内障盲的回顾和方向[J]. 中华医学杂志,2018, 98(22):1731-1733.
[2] 谢宝恩, 伍芳玲. 老年性白内障患者术前综合因素评估疗效分析[J]. 中国实用医药, 2016, 17 (1):120-121.
[3] 庞永明, 唐勇华. 外伤性白内障早期和晚期人工晶状体植入手术的疗效比较[J]. 临床眼科杂志, 2018,26(6):47-50.
[4] 鄢俊杰, 杨 磊. 玻璃体切除术后并发性白内障超声乳化手术操作注意点与疗效观察[J]. 中国眼耳鼻喉科杂志, 2019,19(3):36-38.
[5] Aravind H, Eliza A, 郑 楠. 葡萄膜炎患者白内障手术的治疗[J]. 实用防盲技术, 2019, 14(2):47-48.
[6] 刘 超, 宋宏鲁, 齐 惠,等. 军人LASIK术后外伤性角膜瓣移位10例分析[J]. 人民军医, 2016,59(6):551-552.
[7] 吴海洋,张秀芬,徐 青.武警全训部队眼部损伤流行病学调查[J].武警医学,1995,6( 1):64-65.
[8] 张 颖,张卯年,邱怀雨.15家部队医院军人眼外伤流行病学特征分析[J].中华流行病学杂志,2009,30(7):740-742.
[9] 耿瑞慧,刘 辉,李 成,等.“魔鬼周”极限训练对武警特战队员睾酮、心肌酶谱及血液分析的影响[J].武警医学,2019,30(11):979-982.
[10] 张 勇,刘湘香,张 霞.角膜地形图在招飞体检中应用的实验性研究[J].空军医学杂志,2011,27(2):73-77.
[11] 张卫兵,罗寿夫,马新伟,等.招飞与征兵体检隐匿性屈光矫治眼快速检出技术的应用效果[J].空军医学杂志,2014,30(4):195-196,235.
[12] 王 雷.招飞体检中对角膜屈光矫治术人员的鉴定[J].中华航空航天医学杂志,2005,16(4):298.
[13] 杨培增,张 震,王 红.葡萄膜炎的临床类型及病因探讨[J].中华眼底病杂志,2002,18(4):253-255.
[14] 杨洪波,杨向红.葡萄膜炎并发白内障手术治疗的临床观察[J].眼科新进展,2015,35(9):873-875.
[15] 叶 纹,冯佩丽.葡萄膜炎并发白内障的手术效果分析[J].眼科新进展,2001, 21(3):197-198.
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