| 飞秒激光辅助白内障手术后干眼的危险因素分析 |
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| 引用本文： | 许荣,赵少贞,曾庆延,谌丹,常晓可. 飞秒激光辅助白内障手术后干眼的危险因素分析[J]. 眼科新进展, 2021, 0(12): 1149-1153. DOI: 10.13389/j.cnki.rao.2021.0240 |
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| 作者姓名： | 许荣 赵少贞 曾庆延 谌丹 常晓可 |
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| 作者单位： | 430024 湖北省武汉市，武汉爱尔眼科医院汉口医院 |
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| 摘 要： | 目的 探讨飞秒激光辅助白内障手术后干眼的潜在危险因素.方法 回顾性队列研究.收集2015年1月至2018年12月于我院行飞秒激光辅助白内障手术的临床病例,收集所有病例的详细病史,每位患者只统计首次手术眼.利用单因素分析和多因素logistic回归分析探索飞秒激光辅助白内障手术后干眼的潜在危险因素.结果 416例患者中,...
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| 关 键 词： | 飞秒激光辅助白内障手术 危险因素 干眼 |
Risk factors for dry eye after femtosecond laser-assisted cataract surgery |
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| XU Rong,ZHAO Shaozhen,ZENG Qingyan,SHEN Dan,CHANG Xiaoke. Risk factors for dry eye after femtosecond laser-assisted cataract surgery[J]. Recent Advances in Ophthalmology, 2021, 0(12): 1149-1153. DOI: 10.13389/j.cnki.rao.2021.0240 |
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| Authors: | XU Rong ZHAO Shaozhen ZENG Qingyan SHEN Dan CHANG Xiaoke |
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| Affiliation: | Wuhan Aier Hankou Eye Hospital,Wuhan 430020,Hubei Province,China |
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| Abstract: | Objective To evaluate potential risk factors that may cause dry eye after femtosecond laser-assisted cataract surgery.Methods In this retrospective cohort study, 416 patients who underwent femtosecond laser-assisted cataract surgery in our hospital from January 2015 to December 2018 were selected, and their detailed medical history was also collected. Only the first surgical eye was included. Univariate analysis and multivariate logistic regression analysis were used to analyze the potential risk factors that might cause dry eye after femtosecond laser-assisted cataract surgery.Results At one week after surgery, the incidence of dry eye was 20.19%(84 eyes). By the first month, the percentage fell to 10.82%(45 eyes). By the third month, the percentage dropped to 1.92%(8 eyes). According to multivariate logistic regression, risk factors for dry eye after femtosecond laser-assisted cataract surgery included female sex (OR=3.973, P=0.001), drinking (OR=27.444, P<0.001), type 2 diabetes (OR=12.204, P<0.001), meibomian gland dysfunction (OR=2.591, P=0.017), previous ocular surgeries (OR=67.226, P<0.001), contact lens (OR=15.019, P<0.001), high cumulative dissipated energy (OR=1.188, P=0.002), and long negative-pressure suction duration (OR=1.101, P<0.001).Conclusion Female sex, drinking, type 2 diabetes, meibomian gland dysfunction, previous ocular surgeries, contact lens, high cumulative dissipated energy, and long negative-pressure suction duration are risk factors that may cause dry eye after femtosecond laser-assisted cataract surgery. Clinicians should give relevant intervention to reduce the incidence of dry eye. |
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| Keywords: | femtosecond laser-assisted cataract surgery risk factors dry eye |
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