CAJ | 학술논문

目的探讨后房型有晶状体眼人工晶状体植入术治疗高度近视及散光的安全性和疗效性.方法后房型有晶状体眼人工晶状体植人术治疗高度近视及散光22例39只眼.术前屈光度(等效球镜)为-7.0～-24.0D,平均(-14.50D±3.50)0;散光-0.50～-4.50D,平均(-2.25±1.32)D.术后检查视力、眼压、裂隙灯显微镜,前房角,前房深度,人工晶状体拱高,角膜内皮细胞计数.随访3-18个月.结果术后3个月,38只眼视力达到或超过术前矫正视力.等效球境-0.50～-2.25D,平均(-0.75±0.38)D,散光度0.25～2.75D,平均(1.03±0.23)D,术后7只眼早期(2h后观察)眼压升高,经降眼压处理,24h内恢复正常.无一例出现青光眼、白内障、人工晶状体偏移及网脱等并发症.结论后房型有晶状体眼人工晶状体植入术治疗高度近视及散光保留了生理性调节、并发症少、安全有效,是临床矫正高度近视散光比较理想的一种方法.
목적 탐토후방형유정상체안인공정상체식입술치료고도근시급산광적안전성화료효성.방법 후방형유정상체안인공정상체식인술치료고도근시급산광22례39지안.술전굴광도(등효구경)위-7.0～-24.0D,평균(-14.50D±3.50)0;산광-0.50～-4.50D,평균(-2.25±1.32)D.술후검사시력、안압、렬극등현미경,전방각,전방심도,인공정상체공고,각막내피세포계수.수방3-18개월.결과 술후3개월,38지안시력체도혹초과술전교정시력.등효구경-0.50～-2.25D,평균(-0.75±0.38)D,산광도0.25～2.75D,평균(1.03±0.23)D,술후7지안조기(2h후관찰)안압승고,경강안압처리,24h내회복정상.무일례출현청광안、백내장、인공정상체편이급망탈등병발증.결론 후방형유정상체안인공정상체식입술치료고도근시급산광보류료생이성조절、병발증소、안전유효,시림상교정고도근시산광비교이상적일충방법.
Objective To valuate the efficacy, safety stability and predictability of implanting a posterior chamber phakic intraocular lens to correct high myopia with astigmatism. Methods Thirty-nine eyes of 22 patients with high myopia were treated with ICL implantation. The range of preop-erative myopia diopters was -7.0 D to -24.0 D, mean -14.50 D±3.50 D, astigmatism ranges -0.50 D to -4.50 D, mean 2.25±1.32 D. All of 39 eyes were implanted ICL successful and had been followed up for 3 to 18 months. The follow up examination included visual acuity, refraction tonometer, slit lamp examination, chamber depth, chamber angle and space between crystal lens and IOL. Results One week after operation, the uncorrected visual acuity of 38 eyes were same or better than the pre-operative best corrected visual acuity (BCVA). The refractive diopters were from -0.50 to -2.25 D,mean -0.75±0.38 D. Astigmatism was 0.25 to 2.75 D, mean 1.03±0.23 D. Complications were seen in 7 eyes of 6 patients who had increased intraocular pressure shortly after surgery (observed in 2hours after operation). After treatment, the intraocular pressure recovered to normal range within 24hours. No complications such as glaucoma, cataract, movement of IOL and retinal detachment occurred in any of the case. Conclusion ICL implantation is administered on the basis of preserving the natural lens. It is predictable, safe and effective in the selected correction methods in high myopia with astigmatism.