中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2010年
11期
1244-1247
,共4页
龙燕%李修义%沈晔%许娇宁
龍燕%李脩義%瀋曄%許嬌寧
룡연%리수의%침엽%허교저
IOL Maser%白内障超声乳化术%角膜最大屈光轴方向%散光%视力
IOL Maser%白內障超聲乳化術%角膜最大屈光軸方嚮%散光%視力
IOL Maser%백내장초성유화술%각막최대굴광축방향%산광%시력
IOL Master%Phacoemulsification%The steepest meridian%Corneal astigmatism%Visual acuity
目的 观察IOL Master引导下个性化角膜切口白内障超声乳化联合人工晶状体植入术术后散光和视力的变化.方法 选择行3.0mm透明角膜最大屈光轴切口方向白内障超声乳化术术共50只眼,随机分成IOL Master引导下(A组)和自动验光仪及A超引导下(B组)两组,每组25只眼.检测术前、术后1d、1周、1月、3月角膜散光和视力变化.结果 A组术前、术后1d、1周、1月、3月角膜散光度分别为(1.01±0.10)D、(1.33±0.13)D、(1.15±0.14)D、(0.90±0.13)D及(0.89±0.12)D;B组为(0.95±0.13)D、(1.25±0.15)D、(1.07±0.13)D、(0.87±0.12)D及(0.82±0.11)D.术后1d及3月与术前比散光度差异均无统计学意义(P＞0.05).A、B两组术后1d及3月散光度变化量相比差异无统计学意义(P＞0.05).A、B两组术后1d、1周、1月及3月顺规性散光百分率较术前均有所增多,但比较差异均无统计学意义(P＞0.05).A、B两组术后1月和3月裸眼视力＞0.8者分别为8只眼和10只眼、2只眼和3只眼,两者相比差异有统计学意义(P＜0.05).结论 IOL Master引导下角膜个性化切口白内障超声乳化联合人工晶状体植入术有助于患者减少术后角膜散光及视力恢复,且方便可行性高.
目的 觀察IOL Master引導下箇性化角膜切口白內障超聲乳化聯閤人工晶狀體植入術術後散光和視力的變化.方法 選擇行3.0mm透明角膜最大屈光軸切口方嚮白內障超聲乳化術術共50隻眼,隨機分成IOL Master引導下(A組)和自動驗光儀及A超引導下(B組)兩組,每組25隻眼.檢測術前、術後1d、1週、1月、3月角膜散光和視力變化.結果 A組術前、術後1d、1週、1月、3月角膜散光度分彆為(1.01±0.10)D、(1.33±0.13)D、(1.15±0.14)D、(0.90±0.13)D及(0.89±0.12)D;B組為(0.95±0.13)D、(1.25±0.15)D、(1.07±0.13)D、(0.87±0.12)D及(0.82±0.11)D.術後1d及3月與術前比散光度差異均無統計學意義(P＞0.05).A、B兩組術後1d及3月散光度變化量相比差異無統計學意義(P＞0.05).A、B兩組術後1d、1週、1月及3月順規性散光百分率較術前均有所增多,但比較差異均無統計學意義(P＞0.05).A、B兩組術後1月和3月裸眼視力＞0.8者分彆為8隻眼和10隻眼、2隻眼和3隻眼,兩者相比差異有統計學意義(P＜0.05).結論 IOL Master引導下角膜箇性化切口白內障超聲乳化聯閤人工晶狀體植入術有助于患者減少術後角膜散光及視力恢複,且方便可行性高.
목적 관찰IOL Master인도하개성화각막절구백내장초성유화연합인공정상체식입술술후산광화시력적변화.방법 선택행3.0mm투명각막최대굴광축절구방향백내장초성유화술술공50지안,수궤분성IOL Master인도하(A조)화자동험광의급A초인도하(B조)량조,매조25지안.검측술전、술후1d、1주、1월、3월각막산광화시력변화.결과 A조술전、술후1d、1주、1월、3월각막산광도분별위(1.01±0.10)D、(1.33±0.13)D、(1.15±0.14)D、(0.90±0.13)D급(0.89±0.12)D;B조위(0.95±0.13)D、(1.25±0.15)D、(1.07±0.13)D、(0.87±0.12)D급(0.82±0.11)D.술후1d급3월여술전비산광도차이균무통계학의의(P＞0.05).A、B량조술후1d급3월산광도변화량상비차이무통계학의의(P＞0.05).A、B량조술후1d、1주、1월급3월순규성산광백분솔교술전균유소증다,단비교차이균무통계학의의(P＞0.05).A、B량조술후1월화3월라안시력＞0.8자분별위8지안화10지안、2지안화3지안,량자상비차이유통계학의의(P＜0.05).결론 IOL Master인도하각막개성화절구백내장초성유화연합인공정상체식입술유조우환자감소술후각막산광급시력회복,차방편가행성고.
Objective To study and analyze the impact on corneal astigmatism and visual acuity during individualized phaeoemulsification with intraocular lens implantation guided by IOL Master. Methods Thirty-eight patients (50 eyes) were treated with phacoemulsification through 3.0mm clear corneal incision with the steepest meridian according to IOL Master (group A) or auto-refractor/A-scan (group B). All patients were divided randomly and equally. The corneal astigmatism and visual acuity between group A and B were compared after the operation. Results The astigmatism of group A, B were (1.01± 0.10)D and (0.95 ± 0.13)D before operation, (1.33± 0.13)D and (1. 25 ± 0.15)D 1 day after operation, (1.15± 0.14)D and (1.07 ± 0.13) D after 1 week, (0.90 ± 0.13)D and (0.87 ± 0.12)D after 1 month, (0.89± 0.12)D and (0.80± 0.11)D after 3 months, respectively. There was no significant difference in the estimated values of astigmatism before and after operation (P ＞0.05), so between the methods of IOL Master and auto- refractor (P ＞0.05). In group A the naked visual acuity above 0.8 were 8 eyes 1 month, and 10 eyes 3 months after operation, better than group B with 2 eyes and 3 eyes. There was significant difference in the estimated values of visual acuity between the methods of IOL Master and A-scan (P ＜0.05). Conclusions Individualized phaeoemulsification with intraocular lens implantation guided by IOL Master can reduce corneal astigmatism and improve the visual impact.
