BMC ophthalmology · 2026
Laser peripheral iridectomy use in the unoperated eyes of hospitalised patients with primary angle-closure glaucoma in a national multicentre study in China.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mao Huiyan, Xiong Kun, Yu Yongzhen, Zhang Qi'ao, Chen Jinyuan, Yin Xue, Wang Dan, Sun Hong, Xing Xiaoli, Duan Guoping, Jia Zhiyang, Jiang Jian, Wu Zhengzheng, Tang Li, Lu Peng, Liu Danyan, Zheng Yajuan, Zhuo Lidong, Fan Sujie, Zhang Xinying, Liu Weiwei, Dai Yan, Chen Hong, Xiang Huadong, Lv Jingyi, Yang Yang, Ma Jianjun, Yang Jianfang, Cao Xueli, Zhou Tingting, Guo Wenyi, Li Guoxing, Zhang Shaodan, Sun Xin, He Mingguang, Liang Yuanbo
Аннотация
OBJECTIVE: To investigate the use of laser peripheral iridectomy (LPI) in the unoperated eyes of hospitalised patients with primary angle-closure glaucoma (PACG).
METHODS: This was a national multi-centre retrospective study, and the sample was selected via multi-stage stratified random sampling from 26 hospitals. Data on LPI use were extracted from the electronic medical records (EMRs) of 5,404 PACG patients from 1 January 2011 to 31 December 2020. We used a generalised estimating equations (GEE) model to identify factors influencing LPI use.
RESULTS: Among 3,525 unoperated eyes of hospitalised PACG patients, 35.3% of these eyes received LPI during hospitalisation, and the usage rate was 35.1% and 36.0% in provincial-level or above and in city-level hospitals, respectively. In multivariable models, an intraocular pressure (IOP) of > 21 mmHg (OR = 0.915; 95% CI [0.875, 0.956]), moderate visual impairment (OR = 0.898; 95% CI [0.849, 0.949]) and severe visual impairment or blindness (OR = 0.755; 95% CI [0.717, 0.794]) were associated with a lower LPI usage rate in unoperated eyes. By contrast, patients treated in the northern region had a higher LPI usage rate in unoperated eyes (OR = 1.343; 95% CI [1.295, 1.393]).
CONCLUSIONS: The usage rate of LPI in the unoperated eyes of PACG patients is relatively low in China, especially among patients in the southern region, with higher IOP and worse visual impairment.
METHODS: This was a national multi-centre retrospective study, and the sample was selected via multi-stage stratified random sampling from 26 hospitals. Data on LPI use were extracted from the electronic medical records (EMRs) of 5,404 PACG patients from 1 January 2011 to 31 December 2020. We used a generalised estimating equations (GEE) model to identify factors influencing LPI use.
RESULTS: Among 3,525 unoperated eyes of hospitalised PACG patients, 35.3% of these eyes received LPI during hospitalisation, and the usage rate was 35.1% and 36.0% in provincial-level or above and in city-level hospitals, respectively. In multivariable models, an intraocular pressure (IOP) of > 21 mmHg (OR = 0.915; 95% CI [0.875, 0.956]), moderate visual impairment (OR = 0.898; 95% CI [0.849, 0.949]) and severe visual impairment or blindness (OR = 0.755; 95% CI [0.717, 0.794]) were associated with a lower LPI usage rate in unoperated eyes. By contrast, patients treated in the northern region had a higher LPI usage rate in unoperated eyes (OR = 1.343; 95% CI [1.295, 1.393]).
CONCLUSIONS: The usage rate of LPI in the unoperated eyes of PACG patients is relatively low in China, especially among patients in the southern region, with higher IOP and worse visual impairment.