CAJ | 학술논문

目的探讨合并角膜散光的白内障患者未选择Toric复曲面人工晶状体(intraoculalens,IOL)的原因.方法对手术治疗的合并角膜散关的老年性广白内障患者120例进行问卷调查,内容包括医学相关因素、经济因素、社会及个人心理因素三方面,了解患者未选择Toric IOL的原因.结果未选择Toric IOL的原因中医学相关因素占41.18％ (126/306)；经济因素占21.57％ (66/306)；社会及个人心理因素与37.25％(114/306).在各种原因中,位于前三位的依次为认为散光不会影响术后视觉质量25.49％ (78/306)；经济困难21.57％ (66/306);白内障手术是复明,能看到即可19.61％(60/306).愿意术后配戴散光眼镜,年龄,学历及收入水平等对患者未选择Toric IOL均有影响.结论在白内障患者中加强科普知识宣传,加强屈光知识普及,是引导合并散光的白内障患者正确选择人工晶状体,提高术后视觉质量的重要措施.
목적 탐토합병각막산광적백내장환자미선택Toric복곡면인공정상체(intraoculalens,IOL)적원인.방법 대수술치료적합병각막산관적노년성엄백내장환자120례진행문권조사,내용포괄의학상관인소、경제인소、사회급개인심리인소삼방면,료해환자미선택Toric IOL적원인.결과 미선택Toric IOL적원인중의학상관인소점41.18％ (126/306)；경제인소점21.57％ (66/306)；사회급개인심리인소여37.25％(114/306).재각충원인중,위우전삼위적의차위인위산광불회영향술후시각질량25.49％ (78/306)；경제곤난21.57％ (66/306);백내장수술시복명,능간도즉가19.61％(60/306).원의술후배대산광안경,년령,학력급수입수평등대환자미선택Toric IOL균유영향.결론 재백내장환자중가강과보지식선전,가강굴광지식보급,시인도합병산광적백내장환자정학선택인공정상체,제고술후시각질량적중요조시.
Objective To investigate the reasons why cataract patients with corneal astigmatism do not choose Toric IOL. Methods One hundred and twenty cataract patients with corneal astigmatism were investigated with a questionnaire which concerned medical,economic,social,and psychological factors. Results The reasons related to the rejection of Toric IOL were medical factors 41.18％ (126/306),economic factors 21.57％ (66/306),social and psychological factors 37.25％ (114/306).Among the factors,three major reasons were:‘astigmatism doing no matter with visual quality ' (25.49％ (78/306)), ‘economic difficulty' (21.57％ (66/306)), ‘vision recovery being enough'(19.61％ (60/306)).Accepting of post-operative glasses,age,degree of education,income also affected the patients' selection. Conclusions The education of knowledge about cataract and refraction can play a role in inducement of Toric IOL in patients with corneal astigmatism.