中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2012年
7期
399-401
,共3页
人工晶状体%玻璃体切除术%偏心%倾斜%白内障
人工晶狀體%玻璃體切除術%偏心%傾斜%白內障
인공정상체%파리체절제술%편심%경사%백내장
Intraocular lenses%Vitrectomy%Decentration%Tilt%Cataract
目的 比较三种不同材料和设计的人工晶状体(IOL)应用于白内障超声乳化IOL植入联合玻璃体切除手术(联合手术)后囊袋的稳定性.方法 回顾性病例对照研究.2008年l1月到2009年7月期间于天津医科大学眼科中心接受联合手术的患者52例(58眼),根据植入的IOL分为3组:四襻式亲水丙烯酸酯IOL 22眼(四襻亲水组),两襻式亲水丙烯酸酯IOL 18眼(两襻亲水组),两襻式疏水丙烯酸酯IOL 18眼(两襻疏水组).术后6个月行眼部的基本检查,利用Pentacam三维跟前段分析仪检测人工晶状体的偏心值和倾斜角度.采用单因素方差分析.结果 四襻亲水组、两襻亲水组和两襻疏水组的偏心值分别为(0、13±0.07)mm、(0.22±0.28) mm和(0.16±0.11)mm,3组比较差异无统计学意义(F=0.899,P＞0.05).四襻亲水组、两襻亲水组和两襻疏水组的倾斜角度分别为(2.29±1.49)°、(4.00±1.25)°和(4.36±1.78)°,3组比较差异有统计学意义(F=6.958,P＜0.05);倾斜角度的两两比较中,四襻亲水组与两襻亲水组比较差异有统计学意义(t=0.642,P＜0.05),四襻亲水组与两襻疏水组比较差异有统计学意义(t=0.586,P＜0.01).观察期间未发现其他IOL相关的并发症.结论 3种人工晶状体应用于联合手术均较安全有效,四襻亲水型囊袋稳定性相对较好,但其临床疗效有待长期观察.
目的 比較三種不同材料和設計的人工晶狀體(IOL)應用于白內障超聲乳化IOL植入聯閤玻璃體切除手術(聯閤手術)後囊袋的穩定性.方法 迴顧性病例對照研究.2008年l1月到2009年7月期間于天津醫科大學眼科中心接受聯閤手術的患者52例(58眼),根據植入的IOL分為3組:四襻式親水丙烯痠酯IOL 22眼(四襻親水組),兩襻式親水丙烯痠酯IOL 18眼(兩襻親水組),兩襻式疏水丙烯痠酯IOL 18眼(兩襻疏水組).術後6箇月行眼部的基本檢查,利用Pentacam三維跟前段分析儀檢測人工晶狀體的偏心值和傾斜角度.採用單因素方差分析.結果 四襻親水組、兩襻親水組和兩襻疏水組的偏心值分彆為(0、13±0.07)mm、(0.22±0.28) mm和(0.16±0.11)mm,3組比較差異無統計學意義(F=0.899,P＞0.05).四襻親水組、兩襻親水組和兩襻疏水組的傾斜角度分彆為(2.29±1.49)°、(4.00±1.25)°和(4.36±1.78)°,3組比較差異有統計學意義(F=6.958,P＜0.05);傾斜角度的兩兩比較中,四襻親水組與兩襻親水組比較差異有統計學意義(t=0.642,P＜0.05),四襻親水組與兩襻疏水組比較差異有統計學意義(t=0.586,P＜0.01).觀察期間未髮現其他IOL相關的併髮癥.結論 3種人工晶狀體應用于聯閤手術均較安全有效,四襻親水型囊袋穩定性相對較好,但其臨床療效有待長期觀察.
목적 비교삼충불동재료화설계적인공정상체(IOL)응용우백내장초성유화IOL식입연합파리체절제수술(연합수술)후낭대적은정성.방법 회고성병례대조연구.2008년l1월도2009년7월기간우천진의과대학안과중심접수연합수술적환자52례(58안),근거식입적IOL분위3조:사반식친수병희산지IOL 22안(사반친수조),량반식친수병희산지IOL 18안(량반친수조),량반식소수병희산지IOL 18안(량반소수조).술후6개월행안부적기본검사,이용Pentacam삼유근전단분석의검측인공정상체적편심치화경사각도.채용단인소방차분석.결과 사반친수조、량반친수조화량반소수조적편심치분별위(0、13±0.07)mm、(0.22±0.28) mm화(0.16±0.11)mm,3조비교차이무통계학의의(F=0.899,P＞0.05).사반친수조、량반친수조화량반소수조적경사각도분별위(2.29±1.49)°、(4.00±1.25)°화(4.36±1.78)°,3조비교차이유통계학의의(F=6.958,P＜0.05);경사각도적량량비교중,사반친수조여량반친수조비교차이유통계학의의(t=0.642,P＜0.05),사반친수조여량반소수조비교차이유통계학의의(t=0.586,P＜0.01).관찰기간미발현기타IOL상관적병발증.결론 3충인공정상체응용우연합수술균교안전유효,사반친수형낭대은정성상대교호,단기림상료효유대장기관찰.
Objective To compare the deeentration and tilt of 3 kinds of intraocular lenses (IOLs) with different materials and shapes after combined surgery (pbacoemulsification combined with IOL implantation and pars plana vitrectomy).Methods It was a retrospective case-control study.The combined surgery was performed on 58 eyes,implanting one of 3 different kinds of intraocular lenses [the 4-loop hydrophilic acrylic intraocular lens (group 1),the 2-loop hydrophilic acrylic intraocular lens (group 2) and the 2-loop hydrophobic acrylic intraocular lens (group 3)].Stability was evaluated by measuring the decentration and tilt with a Scheimpflug imaging system 6 months postoperatively.Data were analyzed with ANOVA,Results The mean decentrations in groups 1,2 and 3 were 0.13-±0.07 mm,0.22±0.28 mm and 0.16±0.11 mm,respectively.The differences were not statistically siguificant (F=0.899,P＞0.05).The mean tilts in groups 1,2 and 3 were 2.29±1.49°,4.00±1.25° and4.36±1.78°,respectively,and the differences were statistically significant (F=6.958,P＜0.05).The tilt in group 1 was less than that of the other 2 groups and the difference was statistically significant (group 2:t=0.642,P＜0.05; group 3:t=0.586,P＜0.01).Conclusion The 3 different types of intraoeular lenses are all stable after combined surgery.The 4-loop intraoeular lens had good performance with great stability compared to the 2-loop mtraocular lens,and the clinical,outcomtes should be followed up over the long term,
