Comparison of anti-HCV seroprevalence of patients who underwent cataract surgery and other ophthalmic procedures

Gökhan Özgür, Esmeray Mutlu Yılmaz
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Abstract

Aims: The aim of this study is to evaluate the Anti-HCV seroprevalence in patients who underwent cataract surgery and to compare the prevalence with other ophthalmic surgery procedures. Methods: Patients who underwent ophthalmic surgeries between January 2017 and January 2023 and were preoperatively screened for anti-HCV by ELISA test were included in this study. Patients who underwent cataract surgery formed the study group and other patients were compared as the control group. All data were obtained from the database of the institute and were retrospectively evaluated. Results: A total of 15799 cases were included in the study, and 69.9% had cataracts whereas 30.1% had non-cataract surgery. The mean age of the patients was 63.24±16.04 years. The rate of Anti-HCV seropositive patients was 0.48% (n=53) in the cataract surgery group, and 0.42% (n=20) in those who had non-cataract surgery. However, the difference was not statistically significant (p=0.696). The overall rate of Anti-HCV seropositive cases was %0.46. Conclusion: Even though there was no significant difference between the two groups, the Anti-HCV was positive for almost 1 in 200 ophthalmic procedures. We strongly recommend preoperative screening due to the severity of HCV infection and the risk of surgical transmission.
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比较白内障手术和其他眼科手术患者的抗-HCV 血清阳性反应率
目的:本研究旨在评估白内障手术患者的抗-HCV 血清阳性反应率,并将其与其他眼科手术进行比较。 研究方法本研究纳入了在 2017 年 1 月至 2023 年 1 月期间接受眼科手术并在术前通过 ELISA 检测筛查抗-HCV 的患者。接受白内障手术的患者为研究组,其他患者作为对照组进行比较。所有数据均来自该研究所的数据库,并进行了回顾性评估。 研究结果研究共纳入 15799 个病例,69.9% 的患者接受了白内障手术,30.1% 的患者未接受白内障手术。患者的平均年龄为(63.24±16.04)岁。白内障手术组中抗-HCV血清阳性患者的比例为0.48%(53人),非白内障手术组中抗-HCV血清阳性患者的比例为0.42%(20人)。然而,两者之间的差异并无统计学意义(P=0.696)。抗-HCV 血清阳性病例的总体比例为 0.46%。 结论尽管两组之间没有明显差异,但几乎每 200 例眼科手术中就有 1 例抗-HCV 阳性。鉴于 HCV 感染的严重性和手术传播的风险,我们强烈建议进行术前筛查。
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