[1]任 霞,王大龙,田丹丹,等.年龄相关性白内障合并浅前房患者术后综合性视觉功能指数及影响因素分析[J].陕西医学杂志,2023,52(2):176-179.[doi:DOI:10.3969/j.issn.1000-7377.2023.02.013]
　REN Xia,WANG Dalong,TIAN Dandan,et al.Postoperative comprehensive visual-functioning index in age-related cataract patients with shallow anterior chamber and its influencing factors[J].,2023,52(2):176-179.[doi:DOI:10.3969/j.issn.1000-7377.2023.02.013]
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年龄相关性白内障合并浅前房患者术后综合性视觉功能指数及影响因素分析
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
52
期数:
2023年2期
页码:
176-179
栏目:
临床研究
出版日期:
2023-02-05

文章信息/Info

Title:
Postoperative comprehensive visual-functioning index in age-related cataract patients with shallow anterior chamber and its influencing factors
作者:
任 霞1; 王大龙2; 田丹丹2; 张 蓓3
(1.西安市儿童医院眼科,陕西 西安 710003; 2.西安市中医医院眼科,陕西 西安 710021; 3.延安市人民医院眼科,陕西 延安 716000)
Author(s):
REN Xia; WANG Dalong; TIAN Dandan; ZHANG Bei
(Department of Ophthalmology,Xi'an Children's Hospital,Xi'an 710003,China)
关键词:
年龄相关性白内障;  综合性视觉功能指数;  老年黄斑病变;  高度近视性视网膜病变;  糖尿病性视网膜病变;  青光眼性视神经萎缩
Keywords:
Age-related cataract;  Composite visual-functioning index;  Age-related macular degeneration;  High myopia retinopathy;  Diabetic retinopathy;  Glaucomatous optic atrophy
分类号:
R 776.1
DOI:
DOI:10.3969/j.issn.1000-7377.2023.02.013
文献标志码:
A
摘要:
目的:探讨影响年龄相关性白内障合并浅前房患者手术后综合性视觉功能指数的因素。方法:选择进行手术治疗的年龄相关性白内障合并浅前房患者80例为研究对象。术后使用综合性视觉功能指数(VF-7)问卷法评估所有患者视觉功能,并依此将患者分为VF-7评分≤ 90分组和VF-7评分> 90分组,通过单因素和多因素Logistic回归分析探讨影响年龄相关白内障合并浅前房患者手术后综合性视觉指数的因素。结果:80例患者术后VF-7评分低于75分、75～90分和高于90分的患者分别为23例(28.75%)、30例(37.50%)和27例(33.75%)。不同VF-7评分患者术前在年龄、性别、BMI、眼轴长度、角膜曲率、眼压和晶体混浊度值等比较差异无统计学意义(均P>0.05)。单因素与多因素Logistic回归分析显示:合并老年黄斑病变(OR=2.261,95%CI:1.028～3.619)、高度近视性视网膜病变(OR=2.261,95%CI:1.028～3.619)、糖尿病性视网膜病变(OR=2.261,95%CI:1.028～3.619)以及青光眼性视神经萎缩(OR=2.261,95%CI:1.028～3.619)是影响年龄相关性白内障合并浅前房术后综合性视觉指数的独立危险因素。结论:年龄相关性白内障合并浅前房患者手术治疗后综合性视觉功能指数受高度近视性视网膜病变、黄斑病变以及糖尿病性视网膜病变等多种眼部疾病影响。
Abstract:
Objective:To study the factors affecting the comprehensive visual-functioning index after surgery in patients with age-related cataract and shallow anterior chamber.Methods:A total of 80 patients with age-related cataract and shallow anterior chamber who underwent surgical were selected as the research subjects.The visual function of all patients was evaluated by the comprehensive visual-functioning index(VF-7)questionnaire after surgery,and was divided into VF-7≤ 90 group and VF-7> 90 group.Univariate and multivariate Logistic regression analysis were used to explore the factors affecting the comprehensive visual-functioning index after surgery in patients with age-related cataract and shallow anterior chamber.Results:Among the 80 age-related cataract patients with shallow anterior chamber,23(28.75%),30(37.50%)and 27(33.75%)had VF-7 scores lower than 75,75 to 90 and higher than 90,respectively.There was no significant difference in age,gender,BMI,axial length,corneal curvature,intraocular pressure and lens opacity among patients with different VF-7 scores before surgery(all P>0.05).Univariate and multivariate Logistic regression analysis showed that age-related macular degeneration(OR=2.261,95%CI:1.028 to 3.619),high myopic retinopathy(OR=2.261,95%CI:1.028 to 3.619),diabetic retinopathy lesions(OR=2.261,95%CI:1.028 to 3.619)and glaucomatous optic atrophy(OR=2.261,95%CI:1.028 to 3.619)were independent risks affecting comprehensive visual-functioning index after age-related cataract with shallow anterior chamber.Conclusion:The comprehensive visual-functioning index of patients with age-related cataract and shallow anterior chamber after surgical treatment is affected by various eye diseases such as high myopia retinopathy,macular degeneration and diabetic retinopathy.

参考文献/References:

[1] 崔健怡,胡水清.超声乳化吸出联合蓝光滤过型人工晶状体植入术对白内障患者视功能康复及生活质量的影响[J].陕西医学杂志,2019,48(2):244-247.
[2] Gali HE,Sella R,Afshari NA.Cataract grading systems:A review of past and present [J].Curr Opin Ophthalmol,2019,30(1):13-18.
[3] Ekstrom C,Grunditz UJ.Association between age-related cataract and mortality in Sweden:A long-term population-based follow-up study[J].Ophthalmic Epidemiol,2021,28(4):301-305.
[4] Hashemi H,Pakzad R,Yekta A,et al.Global and regional prevalence of age-related cataract:A comprehensive systematic review and meta-analysis [J].Eye(Lond),2020,34(8):1357-1370.
[5] Hashemi H,Pakzad R,Aghamirsalim M,et al.Age-and sex-standardized prevalence of age-related cataract and its determinants:Tehran geriatric eye study(TGES)[J].Ophthalmic Epidemiol,2021,43:1-12.
[6] 杨 斐,鲍永珍.年龄相关性白内障合并浅前房患者角膜屈光力与前房形态的相关性研究[J].中华眼科杂志,2022,58(5):348-353
[7] 黄美娜,陈浙一.年龄相关性白内障患者的综合性视觉功能指数与跌倒影响因素之间的关系[J].国际眼科杂志,2016,16(1):87-90.
[8] Lee H,Jin Y,Roh M,et al.Risk of cataract surgery and age-related macular degeneration after initiation of denosumab vs zoledronic acid for osteoporosis:A multi-database cohort study [J].Drugs Aging,2020,37(4):311-320.
[9] Fernández-Vega CA,Rodríguez-Una I,Rodríguez-Calvo PP.Femtosecond laser-assisted cataract surgery in shallow anterior chamber cases [J].Int Ophthalmol,2021,41(2):707-717.
[10] Wan Y,Zhao L,Huang C,et al.Validation and comparison of the national eye institute visual functioning questionnaire-25(NEI VFQ-25)and the visual function index-14(VF-14)in patients with cataracts:A multicentre study [J].Acta Ophthalmol,2021,99(4):480-488.
[11] 万新娟,蒋 晨,谢小东.术前前房深度对年龄相关性白内障患者超声乳化术后屈光状态的影响[J].中国医药导报,2021,18(18):119-122,130.
[12] 宋国强,刘俊杰,吴 睿.影响老年白内障患者超声乳化术后视力水平的相关因素分析[J].湖北科技学院学报:医学版,2019,33(2):147-149.
[13] 焦 剑,李学东,邱怀雨,等.年龄相关性白内障术后视力再下降患者的临床特征分析[J].眼科新进展,2021,41(5):456-460.
[14] Flores R,Carneiro A,Vieira M.Age-related macular degeneration:Pathophysiology,management,and future perspectives[J].Ophthalmologica,2021,244(6):495-511.
[15] Sivaprasad PS.Cataract surgery in patients with age-related macular degeneration[J].Can J Ophthalmol,2021,56(6):347.
[16] Gillies MC,Hunyor AP,Arnold JJ,et al.Effect of ranibizumab and aflibercept on best-corrected visual acuity in treat-and-extend for neovascular age-related macular degeneration:A randomized clinical trial [J].JAMA Ophthalmol,2019,137(4):372-379.
[17] 吴香丽,谢 赟,殷英霞,等.复方血栓通胶囊联合曲安奈德球后注射辅助全视网膜光凝治疗糖尿病黄斑水肿疗效分析[J].陕西中医,2018,39(6):736-738.
[18] Chen DY,Sun NH,Chen X,et al.Endothelium-derived semaphorin 3G attenuates ischemic retinopathy by coordinating β-catenin-dependent vascular remodeling[J].J Clin Invest,2021,131(4):135296.
[19] Razeghinejad R,Lin MM,Lee D,et al.Pathophysiology and management of glaucoma and ocular hypertension related to trauma[J].Surv Ophthalmol,2020,65(5):530-547.
[20] Pereira ICF,Wijdeven R,Wyss HM,et al.Conventional glaucoma implants and the new MIGS devices:A comprehensive review of current options and future directions [J].Eye(Lond),2021,35(12):3202-3221.

备注/Memo

备注/Memo:
基金项目:陕西省科学技术协会科研项目(2021-1-2)
更新日期/Last Update: 2023-02-06