Effect of Preoperative Ocular Biological Parameters on Postoperative Refractive Status in Patients with Primary Angle Closure Glaucoma
Objective To investigate the effect of preoperative ocular biological parameters on postoperative refractive status in patients with primary angle closure glaucoma.Methods Clinical data of 63 patients with primary angle closure glaucoma who underwent glaucoma cataract combined surgery in a hospital from January 2019 to December 2022 were retrospectively collected,all of whom completed a 3-month follow-up.According to the postoperative refractive status of the patients,they were divided into a refractive error group(37 cases,postoperative equivalent spherical diopter preoperative reserved refractive index＜-0.50 D or＞0.50 D)and a non-refractive error group(26 cases,-0.50 D≤postoperative equivalent spherical diopter preoperative reserved refractive index≤0.50 D).All patients underwent eyeball biology examination upon admission and recorded baseline data to analyze the impact of preoperative eyeball biology parameters on postoperative refractive status in patients with primary angle closure glaucoma.Results There was no statistical significant difference in age,body mass index,gender,history of alcohol abuse,hypertension between the refractive error group and the non-refractive error group(P＞0.05).There was a statistical significant difference in the type of primary angle-closure glaucoma and preoperative sustained high intraocular pressure between the refractive error group and the non refractive error group(P＜0.05).The preoperative vitreous cavity length(VCL),axial length(AL),and anterior chamber depth(ACD)parameters of the refractive error group were higher than those of the non-refractive error group,while the lens thickness(LT)was lower than that of the non-refractive error group(P＜0.05).Through logistic regression analysis,the results showed that preoperative LT parameters were protective factors for postoperative refractive status in patients with primary angle closure glaucoma(OR＜1,P＜0.05),while preoperative VCL,AL and ACD were risk factors for postoperative refractive status in patients with primary angle closure glaucoma(OR＞1,P＜0.05).Conclusion Preoperative VCL,AL and ACD parameters are higher,while lower LT parameters can increase the risk of postoperative refractive error in patients with primary angle closure glaucoma.Effective intervention measures can be taken before surgery to reduce the occurrence of postoperative refractive error in patients.
ocular biological parametersprimary angle closure glaucomarefractive status
万方数据
维普
