接受手術的非老年性白內障病患臨床表徵之十年比較

目的: 本研究的目的在分析非老年性白內障須手術治療之患者其臨床表徵，並與十年前之結果做比較。方法: 研究收集2015-09到2016-08在高雄長庚醫院接受白內障手術且年齡介於30到54歲之病例,病患若同時接受其他眼科手術或有虹彩炎者則排除在外。本研究屬於回顧式病例分析研究。結果: 接受手術之非老年性白內障比率佔全部白內障之12.38(302/2439)。平均年紀 47.6 ± 5.6 歲，平均眼軸長 26.00 ±2.89 mm。在 302 個非老年性白內障病例中，高度近視(眼軸長>=26mm, 47.02%)比例為第一位，而糖尿病比例則為第二位(26.82%)。水晶體的型態則以核性白內障(67.55%)為主。與十年前的研究相比較，非老年性白內障臨床表徵所佔比例第一位從非特異性變成高度近視，水晶體混濁型態從後囊下皮質性混濁為主變成核性白內障為主。結論: 非老年性白內障須手術治療之患者其臨床表徵中，高度近視變成最重要的因子，而水晶體的混濁型態則以核性白內障為主。隨著高度近視的盛行率增加，在高度近視且發生非老年性白內障病患接受手術時，要更注意去避免可能發生的併發症。

關鍵字

白內障；高度近視；近視

並列摘要

Purpose The purpose of this study is to investigate the clinical characteristics of presenile cataract and compare that with ten years ago. Materials and Methods The subjects who received cataract surgeries aged from 30 to 54 years were recruited in Kaohsiung Chang Gung Memorial Hospital during September 2015 and August 2016. Patients with uveitis or those who received combined cataract surgeries were excluded. Retrospective chart review was performed in this study. Results A total number of 2439 cataract surgeries were performed and 302 (12.38%, 302/2439) eyes were presenile cataract.. Mean age was 47.6 ± 5.6 years old and mean axial length (AXL) was 26.00 ±2.89 mm. Among 302 presenile cataract eyes,the leading cause was high myopia (defined as AXL >=26mm, 47.02%), following by diabetes mellitus (26.82%). In types of lens opacity analysis, 67.55 % patients with nuclear sclerosis (NS) dominant. Compare to the previous study 10 years ago, the leading cause of presenile cataract changed from idiopathic to high myopia, whereas the lens opacity types changed from PSCO dominant to NS dominant. Conclusion High myopia has been changed to be the most important clinical characteristic associated with presenile cataract, and the most common type of lens opacity was nuclear sclerosis. With the increasing prevalence of high myopia, we should pay more attention in manage of presenile cataract in highly myopes to avoid complications.

並列關鍵字

cataract ； high myopia ； myopia

參考文獻

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