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| Effects of Two Surgical Treatments on Ocular Surface Function and Anterior Chamber Depth in Cataract Patients |
| WU Ting, XU Nan, HE Shanwei, et al |
| Chuzhou First People's Hospital, Anhui Chuzhou 239000, China |
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Abstract Objective: To study the influence of small scleral tunnel incision and clear corneal incision phacoemulsification (PHACO) on ocular surface function indexes and anterior chamber depth in patients with cataract. Methods: One hundred and fifty patients with cataract (monocular disease) who were scheduled to undergo PHACO treatment in the hospital from August 2022 to January 2024 were selected and divided into scleral group (small scleral tunnel incision PHACO, n=75) and corneal group (clear corneal incision PHACO, n=75) by adopting simple random grouping method (random number table method). The ocular surface function indexes, anterior chamber depth, corneal endothelial cell (CEC) loss rate, dry eye symptoms and postoperative complications were compared between groups. Results: The tear break-up time (BUT) in the two groups was decreased first and then increased, and the BUT in the scleral group at T1, T2 and T3 was longer than that in the corneal group (P<0.05). The corneal surface asymmetry index (SAI) and corneal surface astigmatism (CYL) were enhanced first and then reduced in both groups, and the SAI and CYL were lower in the scleral group than those in the corneal group at T1, T2 and T3 (P<0.05). The peripheral and central anterior chamber depth of the two groups showed an increasing trend, but the change trend of the two groups was the same, and the difference was not statistically significant (F interaction =2.384, 2.376, P>0.05).The scleral group had lower CEC loss rate at T1, T2 and T3 than the corneal group (P<0.05). The score of ocular surface Disease Index Scale (OSDI) of the two groups increased first and then decreased, but the change trend of the two groups was the same, and the difference was not statistically significant (F interaction =1.930, P>0.05). There was no statistical significance in postoperative complications between the scleral group (18.67%) and the corneal group (29.33%) (P>0.05). Conclusion: Compared with PHACO with clear corneal incision, PHACO with small scleral tunnel incision for cataract patients can promote the recovery of corneal surface morphology and reduce the loss of corneal endothelial cells, with good treatment safety.
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[1] Thapa M,Shrestha GB,Gautam P,et al.Cataract among patients with renal transplantation in a tertiary care centre:a descriptive cross-sectional study[J].JNMA Nepal Med Assoc,2023,61(257):64-67.
[2] Carolan JA,Liu L,Alexeeff SE,et al.Intraocular pressure reduction after phacoemulsification:a matched cohort study[J].Ophthalmol Glaucoma,2021,4(3):277-285.
[3] Rana K,Bahrami B,van Zyl L,et al.Efficacy of intracameral antibiotics following manual small incision cataract surgery in reducing the rates of endophthalmitis:A meta-analysis[J].Clin Exp Ophthalmol,2021,49(1):25-37.
[4] 中华医学会眼科学分会白内障及人工晶状体学组.中国白内障围手术期干眼防治专家共识(2021年)[J].中华眼科杂志,2021,57(1):17-22.
[5] Bakkar MM,El-Sharif AK,Al Qadire M.Validation of the arabic version of the ocular surface disease index questionnaire[J].Int Ophthalmol,2021,14(10):1595-1601.
[6] 李晓,刘雪薇,芦凌羽,等.新疆塔城地区50岁及以上人群白内障流行病学调查及危险因素分析[J].中华实验眼科杂志,2022,40(12):1176-1180.
[7] 张金金,陈琳,田恬,等.宁夏回族自治区农村成人盲及低视力流行病学调查[J].中华眼视光学与视觉科学杂志,2023,25(10):733-738.
[8] 袁志敏,杨洁,刘硕,等.白内障超声乳化术两种切口对术后干眼的影响[J].中华眼外伤职业眼病杂志,2022,44(8):634-640.
[9] 黄兆敏,侯正玉,李盈龙,等.两种不同切口下的白内障超声乳化术对角膜内皮细胞的影响[J].临床眼科杂志,2023,31(2):151-153.
[10] Yurttaser Ocak S,Mangan MS.Endothelial cell loss after accelerated corneal crosslinking using pachymetry-guided hypo-osmolar riboflavin dosing in thin keratoconic corneas[J].Cataract Refract Surg,2021,47(12):1530-1534.
[11] 王雨晴,刘娟,王林,等.两种手法小切口在白内障手术治疗中的临床对比研究[J].哈尔滨医科大学学报,2023,57(3):280-283,288.
[12] 栗江陵,常鲁,张杰,等.视网膜下注射复方电解质眼内冲洗液治疗伴硬性渗出物的糖尿病黄斑水肿的临床疗效观察[J].中华眼底病杂志,2023,39(12):979-985.
[13] 黄丙瑶,刘延晶,张胜男,等.两种超声乳化手术模式在不同核硬度白内障手术中的应用[J].国际眼科杂志,2023,23(12):2087-2091. |
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2025, Vol. 31 
