白内障手术后视力评估

Asmaa Abd-Elhady Ibrahim, Hanan El Ghoneimy, Afaf H. Rashwan
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引用次数: 0

摘要

白内障手术是世界范围内最常见的外科手术之一。白内障摘除适用于视力不佳的患者。日常生活中的视力问题,如白内障,会影响远近视力。目的对白内障术后患者进行视力评估。这是一项描述性前瞻性研究,研究对象为2019 - 2020年在纪念眼科研究所连续接受白内障手术的患者。共纳入50只符合纳入标准的眼睛。术前、术后第一天、术后1周、术后1个月、术后3个月对患者进行检查。结果患者平均年龄61.82±7.6岁,男女比例为1.1:1。术前手术眼失明13例(26%),中度至重度视力损害37例(74%)。术后第一天,13例(26%)患者视力为6/6 ~ 6/18。50例患者术后3个月最佳矫正视力,32例(64%)患者视力良好,18例(36%)患者视力边缘,无一例(0%)患者屈光后视力不良。结论白内障手术是一种经济有效的手术,但被认为是一种巨大的负担。尽管付出了很大的努力,但影响手术成功和结果的因素是多方面的,包括手术相关因素、外科医生和患者相关因素。由于白内障手术是一种成本效益高的手术,本研究的目的是从这种成本中获得较高的收益。
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Visual assessment after cataract surgery
Background Cataract surgery has been one of the most commonly performed surgical procedures worldwide. Cataract extraction is indicated for poor visual acuity. Daily life visual problems such as cataract affect both far and near vision. Aim The aim of this study was visual assessment of patients after cataract surgery. Patients and methods This is a descriptive prospective study of consecutive patients undergoing cataract surgery at Memorial Institute of Ophthalmic Research between 2019 and 2020. A total of 50 eyes that met the inclusion criteria were included. Patients were examined preoperative, first day, 1 week, 1 month, and 3 months postoperatively. Results The mean age was 61.82±7.6 years, and the male to female ratio was 1.1 : 1. Preoperatively, 13 (26%) patients were blind in the operated eye, whereas 37 (74%) patients had moderate to severe visual impairment. On the first day postoperatively, 13 (26%) patients had visual acuity of 6/6–6/18. Regarding best-corrected vision after refraction 3 months postoperatively, 32 (64%) of 50 patients had good vision, whereas 18 (36%) patients had borderline vision, and no patients (0%) had poor vision after refraction. Conclusion Cataract surgery is a cost-effective surgery but is considered a huge burden. Even with great efforts, multiple factors affect the surgical success and the outcomes, including surgery-related factors, surgeon, and patient-related factors. As cataract surgery is a cost effective surgery, in this study the aim is to get high benefits from this cost.
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