先天性白內(nèi)障術(shù)后低視力相關(guān)因素分析.pdf

1、青島大學(xué)碩士學(xué)位論文先天性白內(nèi)障術(shù)后低視力相關(guān)因素分析姓名：張影影申請學(xué)位級別：碩士專業(yè)：眼科學(xué)指導(dǎo)教師：謝立信20090430TheAnalysisoftheFactorsAssociatedwithLowVisionaftertheSurguryofCongenitalCataractAbstractObjectiveTeporttheincidenceofthelowvisionafterthesurguryofcongenita

2、lcataractandtheanalysisofthefactorsassociatedwithlowvisionMethodsAllchildrenagedlessthan12yearsold，whohaddiagnosedcongenitalcataractandundergonecataractsurguryinourhospital，thebestcorrectedvisualacutylastingatleast1yearR

3、egisterthetypeofthecataract，ageatthesurgurythecomplicationoftheeyesbeforeandafterthesueguryRetrospectiveanalysisoftheincidenceofthelowvisionafterthesurguryofcongenitalcataractandthecorrelationanalysisofthefactorsassociat

4、edwithlowvisionResults113patients(226eyes)ofbilateralcongenitalcataractand83patientsofunilateralcataractwereincludedTheincidenceofthelowvisioninbilateralwas292％(66／226)：Theincidenceofthelowvisioninunilateralcongenimlcata

5、ractcasesis747％(62／83)therewassignificantdiferencebetweentheincidenceofthelowvisionafterthesurguryinuninlateralandthebilateralcases(xz=51783，P=0000)Cataracttype，timesincepresentatonageatsurgerypresenceofstrabismusandnyst

6、agmus，secondaryglaucomaweresignificantf0rmelowvisionofbilateralcases(P001)；thetimesincepresentatonandpresenceofstrabismusweresignificantlyinlowvisionofunilateralcases(P001)TheincidenceofPCOis91％(28／309)，3casesdevelopedin

7、toirreversibilityamblyopia；theincidenceofsecondaryglaucomais52／418／309)，2eyeswerepupillaryblockglaucoma14eyesweredevelopedaftertheIOLimplantationoftheaphakiaThemultivariatelogisticregressionshowsthattheunilateralcataract

8、，nystagmusandstrabilismusaxethefactorsmoststronglyassociatedwiththelOWvision，therelativeoddswere251922，52366，11649；theoddsoflowvisionwereincreasedwitheachstageofthetimesincepresentatonamong3～5years，58years，8～12years，ther

9、elativeoddsare18188，63962，21786Conclusion111eunilateralcataractisthemagorfactormostsuonglyassociatedwiththelowvisionafterthesurguryofcongenitalcataract；nystagmusandstrabilismuswerethetwohighriskoflowvisionafterthesurgury

10、ofcongenitalcataract，thecriticalityisearlydiscoveryandearlyoperationtoreestablishthevisualpassagewaytheamblyopiatrainingcouldhelpthecoveryofthevisualfunction；Postercapsularopacificationandsecondaryglaucomaaremetllemostfr