未经证实:研究Nd:YAG后囊切开术后囊混浊(PCO)后并发症的发生率。
未经批准:这是一个潜在的,介入,比较,和观察性研究。总共有80只眼睛,由40只无眼合并症(A组)和40只眼合并症(B组)组成,正在接受Nd:YAG囊切开术治疗PCO,包括在内。研究了Nd:YAG囊切开术的视力结果和并发症。
未经证实:A组患者的平均年龄为61.65±8.85岁,B组患者的平均年龄为63±10.46岁。在总数中,男性38人(47.5%),女性42人(52.5%)。B组,眼部合并症为中度非增生性糖尿病视网膜病变(NPDR)(n=14只眼;14/40=35%),半脱位人工晶状体(IOL;<2小时半脱位;n=6),年龄相关性黄斑变性(ARMD;n=6),葡萄膜后的眼睛(有葡萄膜炎的旧迹象,自过去1年以来没有葡萄膜炎发作;n=5),外伤性白内障手术病例(n=4)。A组和B组平均所需能量分别为46.95±25.92和42.62±21.85mJ,分别(P=0.422)。2级、3级和4级PCO的平均能量需求为22.30、41.62和79.52mJ,分别。在手术后第1天,每组一名患者的眼内压(IOP)从YAG前水平增加>5mmHg,对两名患者进行了7天的药物治疗。每组1例患者出现IOL点蚀。没有患者有归因于ND:YAG囊切开术的任何其他并发症。
UNASSIGNED:Nd:YAG激光后囊切开术是一种安全的手术,适用于有合并症的PCO患者。Nd:YAG后囊切开术后视力良好。尽管观察到眼压短暂增加,治疗反应良好,未观察到IOP长期升高.
To study the complication rate following Nd: YAG posterior capsulotomy posterior capsular opacification (PCO) in patients with and without comorbid conditions.
This was a prospective, interventional, comparative, and observational study. A total of 80 eyes, consisting of 40 eyes without ocular comorbidities (group A) and 40 eyes with ocular comorbidities (group B) that were being treated with Nd: YAG capsulotomy for PCO, were included. Visual outcome and complications of Nd: YAG capsulotomy were studied.
The mean age of group A patients was 61.65 ± 8.85 years and that of group B patients was 63 ± 10.46 years. Of the total, 38 (47.5%) were men and 42 (52.5%) were women. In group B, the ocular comorbidities were moderate nonproliferative diabetic retinopathy (NPDR) (n = 14 eyes; 14/40 = 35%), subluxated intraocular lens (IOL; <2 clock hours of subluxation; n = 6), age-related macular degeneration (ARMD; n = 6), post-uveitic eyes (having old signs of uveitis, no episode of uveitis since the last 1 year; n = 5), and operated cases of traumatic cataract (n = 4). The mean energy required in groups A and B was 46.95 ± 25.92 and 42.62 ± 21.85 mJ, respectively (P = 0.422). The average energy requirement in Grade 2, Grade 3, and Grade 4 PCO was 22.30, 41.62, and 79.52 mJ, respectively. An increase in intraocular pressure (IOP) of >5 mmHg from pre-YAG levels was observed in one patient in each group on day 1 postprocedure, for which medical treatment was given to both patients for 7 days. One patient in each group had IOL pitting. No patient had any other complications attributable to ND:YAG capsulotomy.
Nd:YAG laser posterior capsulotomy is a safe procedure for PCO in patients with comorbidities. Visual outcomes were excellent after Nd:YAG posterior capsulotomy. Although a transient increase in IOP was noted, the response to treatment was good and a long-term increase in IOP was not observed.