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題名:高度近視患者白內障手術視力預後與相關危險因子之探討     (14點)
THE VISUAL OUTCOME AND RELATED PARAMETERS IN CATARACT SURGERY WITH HIGH MYOPIA
著者:張庭嘉(Ting-Jia Chang) ;郭麗琳(Li-Lin Kuo) ;劉秀雯(Shiow-Wen Liou) ;翁林仲(Lin-Chung Woung) ;周碧瑟(Pesus Chou) ;蔡景耀(Ching-Yao Tsai)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Cataract surgery ; diabetes mellitus ; high myopia ; maculopathy
刊名:中華民國眼科醫學會雜誌
卷期:46卷1期(2007.3)
頁碼:27-33
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:本研究探討臺灣地區合併有高度近視之白內障患者,於接 受白內障手術之後其視力之預後,以及造成術後視力不良的相關危險 因子之觀察,並且評估這群志者產生術後併發症之頻率O 方法:本篇報告為回溯性、無配對比較型的研究,病患來源為一 區域教學醫院眼科O 我們定義高度近視之眼軸長必須大於或等於 26.0mm 0 主要研究標的為術後六個月之視力與視覺品質,以及術後 之併發症O 結果:自2002 年1 月至2004 年12 月我們收集了52 隻高度近視 之患眼O 平均追蹤時間為33 .3周032 隻眼(61.5%) 其視力獲得顯著 改善(定義為術後最佳矯正視力於Snellen 視力表進步四行或四行以 上) , 37 隻眼(71.2%) 有良好之術後視力(定義為術後最佳矯正視力 於Snellen 視力表到達20/40 或20/40 以上)。術前患眼的黃斑部病 變之有無,為造成術後視力無法改善之獨立危險因子(勝算比(odds ratio , OR) 6.84 , 95%信賴區間(confidence interval , C.I.) 1. 12-4 1. 8) 、 亦為術後視力有無顯著改善之獨立危險因子(OR 16.1 , 95% C.I. 2.2-119.9) 0 此外,糖尿病病史亦考慮為另一造成術後視力不良之獨立 危險因子(OR 15.6 , 95% C.I. 0.97-267.6) 0 有6 隻眼(11. 5%) 於術 後產生了後發性白內障,需接受蜘﹒雅銘雷射後囊切開術(Nd:YAG laser capsulotomy); 另有2 隻眼(3.8%) 於術後追蹤期中發生了視網 膜剝離O 結論:大部分高度近視之白內障志者於白內障術後皆可得到明顯 視力改善與良好的術後視力,術前即存在患眼之黃斑部病變為影響術 後視力改善程度以及視力本身之危險因子O 白內障手術前檢查患眼之 視網膜黃斑部,對於避免術後視力不良、術後視力改善有限以及術後產生視網膜剝離,有決定性之影響O
Purpose: The pU叩oses of this study are to describe the visual outcome of highly myopic eyes undergoing cataract surgery and, to investigate associated risk factors for poor postoperative vision, and to assess postoperative complication frequency among the prevalent myopic Taiwanese population. Methods: High myopia was defined as an axial length of 主26.0 mm. Main study outcomes were visual acuity for the initial 6-month postoperative period (including quaIity and improvement of postoperative vision), and postoperative complications (including subsequent cataract formation and postoperative retinal detachment) Results: Fifty-two highly myopic eyes were enrolled between January 2002 and Oecember 2004. Mean follow-up interval was 33 .3 weeks. Thirty-two eyes (6 1.5%) had good postoperative visual improvement (孟 4 line Snellen chart). Thirty-seven eyes (71.2%) achieved good postoperative vision (20/40 or better). Fifteen eyes (28.8%) demonstrated poor postoperative vision. Pre-existing maculopathy was an independent risk factor for failure to achieve good postoperative vision (odds ratio (OR) 6.84, 95% confidence interval (C. I.): 1.12-4 1.8) and improvement (OR 16.1 , 95% c.1.: 2.2- 119.9). Oiabetic history was considered another independent risk factor for poor postoperative vision (OR 15.6, 95% C.I.: 0.97-267.6). Six eyes (11.5%) developed subsequent cataract requiring Nd:YAG laser capsulotomy. Two eyes (3.8%) developed retinal detachment during follow-up. Conclusions: Most highly myopic eyes achieved good visual improvement and good postoperative visual acuity after cataract surgery. Pre-existing maculopathy was an independent risk factor of postoperative visual improvement and status. It is crucial to examine retinal status príor to cataract surgery to prevent poor VlSIOn improvement, poor postoperative vision, or retinal complications.


    

本卷期目次
中華民國眼科醫學會雜誌 46卷1期 (2007.3)
CLINICAL OUTCOMES OF WAVEFRONT-GUIDED LASER IN SITU KERATOMILEUSIS WITH DIFFERENT MICROKERATOME HEADS FOR THE HIGH MYOPIA--A PRELIMINARY STUDY/ Hui-Chen LinHung-Yu LinWei-hsin LinChin-jung Yeh
2004年台灣地區眼科門診執業內容分析/ 柳逸嫻林宜璁陳曾基周麗芳黃信彰許紋銘
糖尿病視網膜病變和心率變異性之相關研究/ 郭博昭蔡景耀劉秀雯周碧瑟張寅郭麗琳黃麗珊
高度近視患者白內障手術視力預後與相關危險因子之探討/ 張庭嘉郭麗琳劉秀雯翁林仲周碧瑟蔡景耀
LACRIMAL SAC TUMOR--REPORT OF TWO CASES/ Jyun-Ci WangShih-Huag HuangJen-Peng WangYen-Liang ChangSzu-Yuan LinShun-Ling Lin
NASOPHARYNGEAL CARCINOMA WITH INITIAL PRESENTATION OF ISOLATED COMPRESSIVE OPTIC NEUROPATHY--A CASE REPORT/ Pei-Chen ChangMay-Yung YenYen-Ching LinAn-Guor Wang
OCULAR THELAZIASIS MANIFESTED AS CONJUNCTIVITIS--A CASE REPORT/ Pei-Jen ChenShih-Chen ChenShu-Wen Chang
TOPICAL CYCLOSPORINE A 0.05% IN THE TREATMENT OF SUPERIOR LIMBIC KERATOCONJUNCTIVITIS/ Sheng-Fu ChengChi-Hsien PengCheng-Kuo Cheng
BILATERAL VITREOUS HEMORRHAGE: AN UNUSUAL PRESENTATION OF PRESUMED OCULAR SARCOIDOSIS--CASE REPORT/ Chia-Shian LinShwu-Jiuan Sheu
ORBITAL APEX SYNDROME AND CENTRAL RETINAL ARTERY OCCLUSION CAUSED BY MUCORMYCOSIS--CASE REPORT/ Yu-Lun LoChao-Chien Hu
INTRAOPERATIVE CAPSULAR BLOCK SYNDROME: A CASE REPORT/ Jia-Kang Wang
MUCOEPIDERMOID CARCINOMA OF THE LACRIMAL GLAND: A CASE REPORT AND LITERATURE REVIEW/ I-hua WangGing-Shan HuangShin-Hung HuangSzu-Yuan LinShun-Ling Lin
MANAGEMENT OF AN ANTERIORLY DISLOCATED CRYSTALLINE LENS AND ACUTE SECONDARY ANGLE-CLOSURE GLAUCOMA BY ENDOCAPSULAR PHACOEMULSIFICATION IN THE ANTERIOR CHAMBER AND IRIS-FIXATED INTRAOCULAR LENS IMPLANTATION: A CASE REPORT/ Andy Y LoJia-Kang WangPei-Jen ChenChao-Yu Hu
PNEUMATIC RETINOPEXY FOR RHEGMATOGENOUS RETINAL DETACHMENT/ Ching-Yao TsaiTing-Jia ChangPesus ChouShiow-Wen Liou
SUPRACHOROIDAL HEMORRHAGE--A CASE REPORT/ Chia-Min TsaiTai-Yuen Wang
PRIMARY LYMPHOMA OF THE LACRIMAL SAC--A CASE REPORT/ Hsin-Hui WangShu-Ching KaoChieh-Chih TsaiShyh-Haw TsayWen-Ming Hsu
角膜移植手術中併發膨出性上脈絡膜出血--病例報告/ 劉美麟陳俊寰魏福宗陳伯卿林主國蔡武甫
 
   
 
   

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