Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma

AIM:To investigate the risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma(PLG). METHODS: The clinical data of 148 PLG patients(148 eyes)who underwent cataract surgery were analyzed retrospectively. According to the occurrence of postoperative high intraocular pr...

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Autores principales:	Hui-Chun Yang, Xue-Ying Song, Shao-Wen Qi, Chang-E Hu
Formato:	article
Lenguaje:	EN
Publicado:	Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:	phacolytic glaucoma cataract surgery high intraocular pressure nomogram model Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0ff2d14f9dde47f2b96a693aac3e85ba
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spelling	oai:doaj.org-article:0ff2d14f9dde47f2b96a693aac3e85ba2021-11-22T14:22:33ZAnalysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma1672-512310.3980/j.issn.1672-5123.2021.12.29https://doaj.org/article/0ff2d14f9dde47f2b96a693aac3e85ba2021-12-01T00:00:00Zhttp://ies.ijo.cn/cn_publish/2021/12/202112029.pdfhttps://doaj.org/toc/1672-5123AIM:To investigate the risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma(PLG). METHODS: The clinical data of 148 PLG patients(148 eyes)who underwent cataract surgery were analyzed retrospectively. According to the occurrence of postoperative high intraocular pressure, the patients were divided into non-high intraocular pressure group and high intraocular pressure group. Logistic regression analysis was used to evaluate the risk factors of high intraocular pressure after cataract surgery in PLG patients. Nomogram model was constructed, whose predictive ability was evaluated by receiver operating characteristic curve(ROC). RESULTS: There was no significant difference in age, gender, BMI, cataract lens nucleus grade, combined with hypertension, and surgical methods between two groups(P>0.05); the proportion of diabetes, high myopia, preoperative uveitis, preoperative ocular trauma and intraoperative complications in high intraocular pressure group were higher than those of non-high intraocular pressure group, with the difference was statistically significant(P<0.05). Logistic regression analysis showed that diabetes, high myopia, preoperative uveitis, preoperative ocular trauma and intraoperative complications were independent influencing factors for high intraocular pressure after cataract surgery in PLG patients. The nomogram model constructed in this study had good fitting effect, and the area under the ROC curve was 0.906(0.890-0.921), indicating that it had strong predictive ability. CONCLUSION: PLG patients with intraoperative complications, preoperative uveitis, ocular trauma, diabetes and high myopia had higher risk of high intraocular pressure after cataract surgery. Clinical doctors should pay more attention to these patients in order to improve the treatment prognosis.Hui-Chun YangXue-Ying SongShao-Wen QiChang-E HuPress of International Journal of Ophthalmology (IJO PRESS)articlephacolytic glaucomacataract surgeryhigh intraocular pressurenomogram modelOphthalmologyRE1-994ENGuoji Yanke Zazhi, Vol 21, Iss 12, Pp 2170-2174 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	phacolytic glaucoma cataract surgery high intraocular pressure nomogram model Ophthalmology RE1-994
spellingShingle	phacolytic glaucoma cataract surgery high intraocular pressure nomogram model Ophthalmology RE1-994 Hui-Chun Yang Xue-Ying Song Shao-Wen Qi Chang-E Hu Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma
description	AIM:To investigate the risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma(PLG). METHODS: The clinical data of 148 PLG patients(148 eyes)who underwent cataract surgery were analyzed retrospectively. According to the occurrence of postoperative high intraocular pressure, the patients were divided into non-high intraocular pressure group and high intraocular pressure group. Logistic regression analysis was used to evaluate the risk factors of high intraocular pressure after cataract surgery in PLG patients. Nomogram model was constructed, whose predictive ability was evaluated by receiver operating characteristic curve(ROC). RESULTS: There was no significant difference in age, gender, BMI, cataract lens nucleus grade, combined with hypertension, and surgical methods between two groups(P>0.05); the proportion of diabetes, high myopia, preoperative uveitis, preoperative ocular trauma and intraoperative complications in high intraocular pressure group were higher than those of non-high intraocular pressure group, with the difference was statistically significant(P<0.05). Logistic regression analysis showed that diabetes, high myopia, preoperative uveitis, preoperative ocular trauma and intraoperative complications were independent influencing factors for high intraocular pressure after cataract surgery in PLG patients. The nomogram model constructed in this study had good fitting effect, and the area under the ROC curve was 0.906(0.890-0.921), indicating that it had strong predictive ability. CONCLUSION: PLG patients with intraoperative complications, preoperative uveitis, ocular trauma, diabetes and high myopia had higher risk of high intraocular pressure after cataract surgery. Clinical doctors should pay more attention to these patients in order to improve the treatment prognosis.
format	article
author	Hui-Chun Yang Xue-Ying Song Shao-Wen Qi Chang-E Hu
author_facet	Hui-Chun Yang Xue-Ying Song Shao-Wen Qi Chang-E Hu
author_sort	Hui-Chun Yang
title	Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma
title_short	Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma
title_full	Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma
title_fullStr	Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma
title_full_unstemmed	Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma
title_sort	analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma
publisher	Press of International Journal of Ophthalmology (IJO PRESS)
publishDate	2021
url	https://doaj.org/article/0ff2d14f9dde47f2b96a693aac3e85ba
work_keys_str_mv	AT huichunyang analysisofriskfactorsofhighintraocularpressureaftercataractsurgeryforphacolyticglaucoma AT xueyingsong analysisofriskfactorsofhighintraocularpressureaftercataractsurgeryforphacolyticglaucoma AT shaowenqi analysisofriskfactorsofhighintraocularpressureaftercataractsurgeryforphacolyticglaucoma AT changehu analysisofriskfactorsofhighintraocularpressureaftercataractsurgeryforphacolyticglaucoma
_version_	1718417537961558016

Analysis of risk factors of high intraocular pressure after cataract surgery for phacolytic glaucoma

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