CAJ | 학술논문

目的探讨高度近视眼行虹膜固定型有晶状体眼人工晶状体(IFIOL)植入术的安全性和有效性.方法选取2005年7月至2009年2月接受IFIOL植入术治疗高度近视的患者共89例(169只眼).术前最佳矫正远视球镜屈光度数为-10.00～-23.00D,最佳矫正远视力0.1～0.8,植入IFIOL,术后随访1～36个月.观察指标包括:术前及术后裸眼及矫正视力、屈光度、眼压、瞳孔形态、角膜内皮计数、UBM观察人工晶状体的位置及眼前节的变化情况,对数据指标进行统计学分析.结果所有病例裸眼远视力均较术前最佳矫正远视力提高1行以上,视力提高2行以上者127只眼占75.15%;术后观察指标无明显异常.14只眼(8.28%)诉有眩光,5只眼(2.96%)瞳孔轻度变形,7只眼(4.14%)术后两天切口渗漏,4只眼(2.37%)人工晶状体襻松脱,1只眼(0.59%)1年后出现白内障.无视网膜脱离、眼内炎、葡萄膜炎等其他并发症.结论虹膜固定型有晶状体眼人工晶状体植入术治疗高度近视安全、有效,并且具有良好的预测性,远期效果及相关并发症需进一步观察.
목적 탐토고도근시안행홍막고정형유정상체안인공정상체(IFIOL)식입술적안전성화유효성.방법 선취2005년7월지2009년2월접수IFIOL식입술치료고도근시적환자공89례(169지안).술전최가교정원시구경굴광도수위-10.00～-23.00D,최가교정원시력0.1～0.8,식입IFIOL,술후수방1～36개월.관찰지표포괄:술전급술후라안급교정시력、굴광도、안압、동공형태、각막내피계수、UBM관찰인공정상체적위치급안전절적변화정황,대수거지표진행통계학분석.결과 소유병례라안원시력균교술전최가교정원시력제고1행이상,시력제고2행이상자127지안점75.15%;술후관찰지표무명현이상.14지안(8.28%)소유현광,5지안(2.96%)동공경도변형,7지안(4.14%)술후량천절구삼루,4지안(2.37%)인공정상체반송탈,1지안(0.59%)1년후출현백내장.무시망막탈리、안내염、포도막염등기타병발증.결론 홍막고정형유정상체안인공정상체식입술치료고도근시안전、유효,병차구유량호적예측성,원기효과급상관병발증수진일보관찰.
Objective To evaluate the efficiency and safety of iris-fixated intraocular lenses (IFIOL) for treating high myopia.Methods In this study, 89 cases (169 eyes) with high myopia at-10～-23.0 diopters (D) were implanted with iris-supported PIOL, the best corrected visual acuity (BCVA) was between 0.1～0.8.The following observation was longer than 12 months in all cases.Uncorrected visual acuity (UCVA), best spectacled-corrected visual acuity (BSCVA), refraction, intraocular pressure (IOP), cornea topography,pupil, corneal endothelial count, IOL position, complication of all the treated eyes were observed.All data were analyzed in statistics.Results All of the cases had gained 1 line of their preoperative BSCVA, 75.15% (127 eyes) gained 2 or more lines; the intraocular pressure and corneal endothelial cell density were not statisti-cally significant difference between pre and post operative.Of 14 eyes (8.28%) complained of halo and glare especially at night, 5 eyes (2.96%) pupils were slightly distorted, 7 eyes (4.14%) had seepage for two days after operation, 4 eyes (2.37%) had IOL dislocation, 1 eye had cataract one year later.There were no retinal detachment, uveitis or endophthalmitis occurred in our study.Conclusions Iris-fixated intraocular lenses (IFI-OL) for treating high myopia are effective, safe and predictable.The effectiveness and safety of the PIOL should be further observed in China.