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
2011年
1期
64-66
,共3页
邓国华%周建强%周栋%孙倬
鄧國華%週建彊%週棟%孫倬
산국화%주건강%주동%손탁
晶体,人工,虹膜固定%无晶状体眼%视力%内皮,角膜
晶體,人工,虹膜固定%無晶狀體眼%視力%內皮,角膜
정체,인공,홍막고정%무정상체안%시력%내피,각막
Lenses,intraocular,iris-fixated%Aphakic%Visual acuity%Endothelium,corneal
目的 观察Artisan虹膜固定型人工晶状体(IOL)在无晶状体眼患者中的应用.方法 回顾性病例系列研究.2008年1月到2010年5月间行Artisan IOL植入术且临床资料完整的无晶状体眼患者46例(46眼),年龄为21～56岁,平均(32.8±5.2)岁,其中男28例,女18例.所有患者均在神经阻滞麻醉下行Artisan前房虹膜固定型IOL植入,术后随访3～10个月.对手术所需时长、患者裸眼视力、最佳矫正视力、手术源性散光、瞳孔散大直径、角膜内皮计数和术后并发症等指标进行分析,对手术的疗效和安全性进行评估.手术前后裸眼视力、最佳矫正视力和眼压的比较采用配对t检验.结果 植入Artisan IOL所需手术时间平均为(19.8±6.6)min.患者裸眼视力均较术前有明显提高(0.49±0.23 vs1.21±0.22),与目标屈光状态的差值平均为0.27 D;最佳矫正视力与术前相比无明显差异,手术源性散光为1.45 D.植入IOL后瞳孔直径最大可散至6.77 mm;角膜内皮细胞丢失率为3.6%.术后出现一过性高眼压的有4眼(8.7%);虹膜萎缩有3眼(6.5%);IOL脱位1眼(2.2%).结论 Artisan虹膜固定型IOL在无晶状体眼治疗中具有较好的疗效和较高的安全性,是无晶状体眼患者理想的IOL选择之一.
目的 觀察Artisan虹膜固定型人工晶狀體(IOL)在無晶狀體眼患者中的應用.方法 迴顧性病例繫列研究.2008年1月到2010年5月間行Artisan IOL植入術且臨床資料完整的無晶狀體眼患者46例(46眼),年齡為21～56歲,平均(32.8±5.2)歲,其中男28例,女18例.所有患者均在神經阻滯痳醉下行Artisan前房虹膜固定型IOL植入,術後隨訪3～10箇月.對手術所需時長、患者裸眼視力、最佳矯正視力、手術源性散光、瞳孔散大直徑、角膜內皮計數和術後併髮癥等指標進行分析,對手術的療效和安全性進行評估.手術前後裸眼視力、最佳矯正視力和眼壓的比較採用配對t檢驗.結果 植入Artisan IOL所需手術時間平均為(19.8±6.6)min.患者裸眼視力均較術前有明顯提高(0.49±0.23 vs1.21±0.22),與目標屈光狀態的差值平均為0.27 D;最佳矯正視力與術前相比無明顯差異,手術源性散光為1.45 D.植入IOL後瞳孔直徑最大可散至6.77 mm;角膜內皮細胞丟失率為3.6%.術後齣現一過性高眼壓的有4眼(8.7%);虹膜萎縮有3眼(6.5%);IOL脫位1眼(2.2%).結論 Artisan虹膜固定型IOL在無晶狀體眼治療中具有較好的療效和較高的安全性,是無晶狀體眼患者理想的IOL選擇之一.
목적 관찰Artisan홍막고정형인공정상체(IOL)재무정상체안환자중적응용.방법 회고성병례계렬연구.2008년1월도2010년5월간행Artisan IOL식입술차림상자료완정적무정상체안환자46례(46안),년령위21～56세,평균(32.8±5.2)세,기중남28례,녀18례.소유환자균재신경조체마취하행Artisan전방홍막고정형IOL식입,술후수방3～10개월.대수술소수시장、환자라안시력、최가교정시력、수술원성산광、동공산대직경、각막내피계수화술후병발증등지표진행분석,대수술적료효화안전성진행평고.수술전후라안시력、최가교정시력화안압적비교채용배대t검험.결과 식입Artisan IOL소수수술시간평균위(19.8±6.6)min.환자라안시력균교술전유명현제고(0.49±0.23 vs1.21±0.22),여목표굴광상태적차치평균위0.27 D;최가교정시력여술전상비무명현차이,수술원성산광위1.45 D.식입IOL후동공직경최대가산지6.77 mm;각막내피세포주실솔위3.6%.술후출현일과성고안압적유4안(8.7%);홍막위축유3안(6.5%);IOL탈위1안(2.2%).결론 Artisan홍막고정형IOL재무정상체안치료중구유교호적료효화교고적안전성,시무정상체안환자이상적IOL선택지일.
Objective To study the clinical results of using iris-fixated Artisan intraocular lenses (IOL) in aphakic eyes. Methods This was a retrospective case series study. Forty-six patients who received Artisan IOL implants at the Third People's Hospital of Changzhou from Jan 2008 to May 2010 and had been followed up were included in the study. Their clinical data were collected and analyzed. Of the 46 patients, there were 28 males (28 eyes) and 18 females (18 eyes), aged 25to 49 years, average (32.8±5.2)years. All the surgeries were performed under nerve block anesthesia.Data on the patients' visual acuity, best corrected visual acuity, corneal endothelium density, dilated pupil size, surgically induced astigmatism and complications were collected and the safety as well as the clinical results of the Artisan IOL were analyzed. Data were analyzed with paired t test. Results The average time for Artisan IOL implantation was (19.8±6.6)min. During the follow-up period,transient high intraocular pressure was found in 4 cases (8.7%), focal iris atrophy at the claw was found in 3 cases (6.5%), dislocation of the lens was found in 1 case (2.2%), and the average loss of corneal endothelium was 3.6%. In all, the patient's uncorrected visual acuity was greatly improved;the postoperative best corrected visual acuity was similar to that before the surgery, surgically induced astigmatism was 1.45 D, and after implantation the mean diameter of the dilated pupil was 6.77 mm. Conclusion In an aphakic eye, the iris-fixated Artisan IOL is a safe and efficient option for refractive error correction.
