同眼白内障手术中后囊破裂的风险：一项多中心比较研究

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-01 DOI:10.1080/08820538.2024.2409154

Abdelrahman M Elhusseiny, Joseph Toma, S Nazem Ibrahim, Muhammad Z Chauhan, Kaersti L Rickels, Qais Dihan, Mohamed K Soliman, Yit C Yang, Ahmed B Sallam

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引用次数: 0

摘要

目的：量化同眼超声乳化手术中后囊破裂（PCR）的风险，并确定风险因素：我们汇集了来自英国 8 个研究机构的数据，这些数据均来自接受双侧非同期超声乳化手术的患者。主要结果指标为同眼乳化手术中 PCR 的发生率和风险因素：我们共纳入了 66288 名患者，平均年龄为（75.3 ± 10.2）岁。932名患者（1.4%）的第一只眼和1039名患者（1.5%）的同眼在乳化过程中发生了PCR。首眼发生 PCR 的患者同眼发生 PCR 的风险明显高于首眼未发生 PCR 的患者：分别为 30 名患者（3.2%）和 1009 名患者（1.5%）（几率比（OR）= 1.7，95% 置信区间（CI）= 1.1-2.7）。同眼 PCR 的其他风险因素包括宗性透析（OR = 5.4，CI = 3.3-7.8）和晚期白内障（OR = 2.8，CI = 2.1-3.7）：结论：第一只手术眼的 PCR 病史是导致同侧眼 PCR 的独立风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Risk of Posterior Capsule Ruptures in Fellow-Eye Cataract Surgeries: A Multicenter Comparative Study.

Purpose: To quantify the risk of posterior capsule rupture (PCR) in fellow-eye phacoemulsification surgery and to determine risk factors.

Methods: We pooled data from 8 United Kingdom sites for patients undergoing bilateral non-simultaneous phacoemulsification. Main outcome measures were the incidence and risk factors of the development of PCR during the fellow-eye phacoemulsification.

Results: We included 66,288 patients with a mean age of 75.3 ± 10.2 years. PCR during phacoemulsification occurred in the first eye in 932 patients (1.4%) and the fellow eye in 1039 patients (1.5%). The risk of fellow eye developing PCR in patients with PCR in the first eye was significantly higher than in patients without first eye PCR: 30 patients (3.2%) vs. 1009 (1.5%), respectively (odds ratio (OR) = 1.7, 95% confidence interval (CI) = 1.1-2.7). Other risk factors for fellow-eye PCR included zonular dialysis (OR = 5.4, CI = 3.3-7.8) and advanced cataract (OR = 2.8, CI = 2.1-3.7).

Conclusions: History of PCR in the first-operated eye is an independent risk factor for PCR in the fellow eye.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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