中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
9期
939-941
,共3页
祁媛媛%张丰菊%于芳蕾%鲁智莉
祁媛媛%張豐菊%于芳蕾%魯智莉
기원원%장봉국%우방뢰%로지리
IOL-Master%高度近视%有晶体眼%人工晶体
IOL-Master%高度近視%有晶體眼%人工晶體
IOL-Master%고도근시%유정체안%인공정체
IOL-Master%High myopia%Phakic eye%Intraocular Lens
目的 通过比较光学相干生物测量仪(IOL-Master)与传统公式对有晶状体眼前房型人工晶状体度数预测的准确性,评价IOL-Master的临床应用价值.方法 对高度近视患者17例(24只眼)行有晶体眼前房型人工晶状体植入术,分别按照Holladay公式和IOL-Master提供的公式得出的人工晶状体度数植入前房型人工晶状体(PACLs),记录术后6个月患者视力及眼屈光度和平均绝对屈光误差值(MAIZE).结果 患者术后裸眼远、近视力与最佳矫正视力均达到或高于术前最佳矫正视力,屈光状态明显改善,且差异具有统计学意义(P<0.05).两组术后MAIZE均达到理想状态,其中MAFE≤±0.5D:A组7只眼(77.8%),B组12只眼(80%);MAFE≤±1.0D:A组8只眼(88.9%),B组14只眼(93.3%),两组差异在统计学上没有显著性差异.结论 IOL-Master提供的有晶状体眼前房型人工晶状体度数的测量方法方便、快捷,效果可靠,可以在临床中进一步应用.
目的 通過比較光學相榦生物測量儀(IOL-Master)與傳統公式對有晶狀體眼前房型人工晶狀體度數預測的準確性,評價IOL-Master的臨床應用價值.方法 對高度近視患者17例(24隻眼)行有晶體眼前房型人工晶狀體植入術,分彆按照Holladay公式和IOL-Master提供的公式得齣的人工晶狀體度數植入前房型人工晶狀體(PACLs),記錄術後6箇月患者視力及眼屈光度和平均絕對屈光誤差值(MAIZE).結果 患者術後裸眼遠、近視力與最佳矯正視力均達到或高于術前最佳矯正視力,屈光狀態明顯改善,且差異具有統計學意義(P<0.05).兩組術後MAIZE均達到理想狀態,其中MAFE≤±0.5D:A組7隻眼(77.8%),B組12隻眼(80%);MAFE≤±1.0D:A組8隻眼(88.9%),B組14隻眼(93.3%),兩組差異在統計學上沒有顯著性差異.結論 IOL-Master提供的有晶狀體眼前房型人工晶狀體度數的測量方法方便、快捷,效果可靠,可以在臨床中進一步應用.
목적 통과비교광학상간생물측량의(IOL-Master)여전통공식대유정상체안전방형인공정상체도수예측적준학성,평개IOL-Master적림상응용개치.방법 대고도근시환자17례(24지안)행유정체안전방형인공정상체식입술,분별안조Holladay공식화IOL-Master제공적공식득출적인공정상체도수식입전방형인공정상체(PACLs),기록술후6개월환자시력급안굴광도화평균절대굴광오차치(MAIZE).결과 환자술후라안원、근시력여최가교정시력균체도혹고우술전최가교정시력,굴광상태명현개선,차차이구유통계학의의(P<0.05).량조술후MAIZE균체도이상상태,기중MAFE≤±0.5D:A조7지안(77.8%),B조12지안(80%);MAFE≤±1.0D:A조8지안(88.9%),B조14지안(93.3%),량조차이재통계학상몰유현저성차이.결론 IOL-Master제공적유정상체안전방형인공정상체도수적측량방법방편、쾌첩,효과가고,가이재림상중진일보응용.
Objective To evaluate the clinical accuracy of IOL-Master by comparing with traditional formula in IOL power calculation for implanting phakic anterior chamber intraocular lens (PACLs). Method 17 cases (24 eyes) of high myopia accepted the implantations of PACLs, and the powers of implanted IOL were offered by formula (Holladay) and IOL-Master respectively. Recording the visual acuity,refraction and mean absolute refractive error (MAFE) of 6 months after operation. Results 1. The uncorrected far sight, near sight and best-corrected visual acuity (BSCVA) of post-operation were better than or equal to the BSCVA of pre-operation. The refraction has been obviously improved and the differences were significant (P<0.05).2 The MAFE within ±0.5 diopter in traditional formula group and IOL-Master group were 77.8% and 80%, those within ±1.0 diopter were 88.9% and 93.3%,respectively. Conclusion The method of calculating IOL power of PACLs by IOL-Master is convenient, prompt and reliable and should be applied further.