Incidence of Retinal Detachment, Macular Edema, and Ocular Hypertension after Neodymium:Yttrium-Aluminum-Garnet Capsulotomy
Incidence of Retinal Detachment, Macular Edema, and Ocular Hypertension after Neodymium:Yttrium-Aluminum-Garnet Capsulotomy
| Created | |
|---|---|
| Tags | CGMHOPH |
| Journal | Ophthalmology |
| Status | 審查完成 |
| 校稿者 | 蕭靜熹 醫師 |
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中文摘要
本文報導了一個觀察性群體研究，旨在估計針對白內障手術後後囊膜混濁（PCO）治療常見程序中使用的Nd:YAG-capsulotomy後不良事件（AEs）的發生率和風險因素。該研究使用法國全國代表樣本的數據，對於在2014年至2017年間進行Nd:YAG-caps的患者進行了為期12個月的後續追蹤。三個研究AEs為眼壓增高（ocular hypertension, OHT）、黃斑水腫（ME）和視網膜剝離（RD）。在白內障手術後1年內進行Nd:YAG-caps的患者比晚期進行Nd:YAG-caps的患者更容易發生AEs，尤其是ME。在白內障手術後1至2年進行Nd:YAG-caps的患者比晚期進行Nd:YAG-caps的患者更容易發生OHT。糖尿病人更容易發生OHT及ME. 糖尿病和在白內障手術後早期進行Nd:YAG-caps是AE發生的主要驅動因素。該研究強調了Nd:YAG-caps後初始期間密切的眼科追的重要性，以評估是否需要適當的治療。
English Abstract
The article reports on an observational cohort study that aimed to estimate the incidence and risk factors associated with adverse events (AEs) after neodymium:yttrium-aluminum-garnet posterior capsulotomy (Nd:YAG-caps), which is a common procedure for the treatment of posterior capsule opacification (PCO) after cataract surgery. The study used data from the French national representative sample and followed up patients who underwent Nd:YAG-caps between 2014 and 2017 for 12 months post-procedure. The three AEs of interest were ocular hypertension (OHT), macular edema (ME), and retinal detachment (RD). The 3-month and 12-month overall AE rates ( >1 AE of interest) were 8.6% and 13.3%, respectively. Among patients with > 1 AE of interest, 68.4% of AEs occurred within 3 months post-Nd:YAG-caps. Three-month rates were = 5% for OHT and ME. Retinal detachment remained 0.5% over follow-up. Cox model showed that patients who underwent Nd:YAG-caps performed within 1 year after cataract surgery had a higher risk of AEs than those with later Nd:YAG-caps, notably ME. Patients with Nd:YAG-caps performed between 1 and 2 years after cataract surgery were more at risk of OHT than patients with later Nd:YAG-caps. Diabetic patients were more at risk of OHT and ME. Diabetes and an early Nd:YAG-caps after cataract surgery were among the main drivers for AE occurrence. The study emphasizes the importance of a close ophthalmological follow-up during the initial period after Nd:YAG-caps to evaluate if appropriate treatment is required.
