UNASSIGNED: A retrospective chart review over a five-year period identified 649 patients at our institution undergoing surgical intervention for chalazion. The primary outcomes examined were as follows: (1) return to the operating room for additional surgical intervention and (2) recurrence of chalazion during convalescence from surgery and follow-up.
UNASSIGNED: Fewer than one-third of patients suffered a recurrence after surgery. Multivariate logistic regression found younger age (p = 0.01), female sex (p = 0.01), and a greater number of chalazia drained (p < 0.001) were significantly correlated with recurrence of chalazia after surgery.
UNASSIGNED: Patients presenting at a younger age and with a greater number of chalazion were statistically more likely to have a recurrence of chalazion after surgery. Given recurrence is more likely in younger children, reconciling this with the risk-benefit ratio with regard to FDA guidelines on anesthesia in children under three years is a critical consideration for ophthalmologists.
■一项为期五年的回顾性图表回顾确定了我们机构的649名患者正在接受手术治疗。检查的主要结果如下:(1)返回手术室进行额外的手术干预,以及(2)在手术和随访的康复期复发。
■不到三分之一的患者在手术后复发。多因素logistic回归发现年龄较小(p=0.01),女性(p=0.01),更多的结束液(p<0.001)与手术后结束液的复发显着相关。
■年龄较低且有较多睑板病的患者在手术后更有可能复发。鉴于复发更可能发生在年幼的儿童中,将这一点与FDA关于3岁以下儿童麻醉指南的风险-获益比进行协调是眼科医生的一个重要考虑因素.