中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2010年
6期
643-645
,共3页
郭长锋%王勤美%朱双倩%俞阿勇
郭長鋒%王勤美%硃雙倩%俞阿勇
곽장봉%왕근미%주쌍천%유아용
高度近视%有晶状体眼人工晶状体%调节
高度近視%有晶狀體眼人工晶狀體%調節
고도근시%유정상체안인공정상체%조절
High myopia%Phakic intraocular lens%Accommodation
目的 分析有晶状体眼人工晶状体植入术对高度近视患者调节功能的影响.方法 收集2008年8月至2009年3月在行有晶状体眼人工晶状体植入的高度近视患者16例(32只眼),年龄(27.56±4.50)岁(19～35)岁,其中10例接受后房型有晶状体眼人工晶状体植入手术(Visian ICL),6例行虹膜夹型有晶体眼人工晶状体植入手术(Verisyse).分别于术前和术后1周及术后3个月测量屈光状态、最佳矫正远视力、调节近点、正负相对调节(PRA/NRA)、调节灵活度.数据采用SPSS15.0统计软件包行单因素方差分析.结果 术前、术后1周及术后3个月的最佳矫正远视力分别为4.84±0.12、4.91±0.11、4.92±0.11:调节近点分别为(10.02±1.92)cm、(14.38±3.59)cm、(13.19±2.91)cm.术后1周和3个月时较术前明显远移(F=19.45,P<0.05);PRA/NRA、单眼调节灵活度术前分别为(-2.29±0.48)D、(2.06±0.29)D、(9.50±2.00)cpm,术后1周分别为(-2.05±0.33)D、(2.09±0.27)D、(9.34±1.70)cpm,术后3个月分别为(-2.19±0.35)D、(2.14±0.27)D、(9.63±1.76)cpm,正负相对调节和调节灵活度手术前后差异均无统计学意义(P>0.05).结论 高度近视有晶状体眼人工晶状体植入术后调节近点明显远移,正负相对调节和单眼调节灵活度手术前后无明显变化.
目的 分析有晶狀體眼人工晶狀體植入術對高度近視患者調節功能的影響.方法 收集2008年8月至2009年3月在行有晶狀體眼人工晶狀體植入的高度近視患者16例(32隻眼),年齡(27.56±4.50)歲(19～35)歲,其中10例接受後房型有晶狀體眼人工晶狀體植入手術(Visian ICL),6例行虹膜夾型有晶體眼人工晶狀體植入手術(Verisyse).分彆于術前和術後1週及術後3箇月測量屈光狀態、最佳矯正遠視力、調節近點、正負相對調節(PRA/NRA)、調節靈活度.數據採用SPSS15.0統計軟件包行單因素方差分析.結果 術前、術後1週及術後3箇月的最佳矯正遠視力分彆為4.84±0.12、4.91±0.11、4.92±0.11:調節近點分彆為(10.02±1.92)cm、(14.38±3.59)cm、(13.19±2.91)cm.術後1週和3箇月時較術前明顯遠移(F=19.45,P<0.05);PRA/NRA、單眼調節靈活度術前分彆為(-2.29±0.48)D、(2.06±0.29)D、(9.50±2.00)cpm,術後1週分彆為(-2.05±0.33)D、(2.09±0.27)D、(9.34±1.70)cpm,術後3箇月分彆為(-2.19±0.35)D、(2.14±0.27)D、(9.63±1.76)cpm,正負相對調節和調節靈活度手術前後差異均無統計學意義(P>0.05).結論 高度近視有晶狀體眼人工晶狀體植入術後調節近點明顯遠移,正負相對調節和單眼調節靈活度手術前後無明顯變化.
목적 분석유정상체안인공정상체식입술대고도근시환자조절공능적영향.방법 수집2008년8월지2009년3월재행유정상체안인공정상체식입적고도근시환자16례(32지안),년령(27.56±4.50)세(19～35)세,기중10례접수후방형유정상체안인공정상체식입수술(Visian ICL),6례행홍막협형유정체안인공정상체식입수술(Verisyse).분별우술전화술후1주급술후3개월측량굴광상태、최가교정원시력、조절근점、정부상대조절(PRA/NRA)、조절령활도.수거채용SPSS15.0통계연건포행단인소방차분석.결과 술전、술후1주급술후3개월적최가교정원시력분별위4.84±0.12、4.91±0.11、4.92±0.11:조절근점분별위(10.02±1.92)cm、(14.38±3.59)cm、(13.19±2.91)cm.술후1주화3개월시교술전명현원이(F=19.45,P<0.05);PRA/NRA、단안조절령활도술전분별위(-2.29±0.48)D、(2.06±0.29)D、(9.50±2.00)cpm,술후1주분별위(-2.05±0.33)D、(2.09±0.27)D、(9.34±1.70)cpm,술후3개월분별위(-2.19±0.35)D、(2.14±0.27)D、(9.63±1.76)cpm,정부상대조절화조절령활도수술전후차이균무통계학의의(P>0.05).결론 고도근시유정상체안인공정상체식입술후조절근점명현원이,정부상대조절화단안조절령활도수술전후무명현변화.
Objective To study the effect on accommodation of phakic intraocular lens implantation for high myopia. Methods In this prospective study, 32 eyes of 16 patients with high myopia received phakic intraocular lenses implantation in our hospital from August 2008 to March 2009 were collected. Age 19 to 35 years (mean age 27.56±4.50 years). Among them 10 patients received posterior chamber intraocular lens implantation surgery (PRL), 6 patients received the Verisyse iris-fixated phakic IOL surgery. The refractive diopter, best corrected visual acuity (BCVA), near point accommodation, positive/negative relation accommodation (PRA/NRA), monocular accommodation facility were measured preoperation, 1 week and 3 months postoperation, respectively. The data were analyzed with one-way ANOVA by SPSS15.0. Results The best corrected visual acuity (BCVA)of preoperation, 1 week 3 months and postoperation was 4.84±0.12, 4.91±0.11,4.92±0.11, respectively. The near point accommodationwas ( 10.02±1.92) cm, (14.38±3.59) cm,(13.19±2.91) cm, respectively. The near point accommodation of 1 week and 3 months postoperation was significant far migration compared with preoperation (F=19.45, P <0.05 ). The positive/negative relation accommodation (PRA/NRA), monocular accommodation facility ofpreoperation was (-2.29±0.48)D, (2.06±0.29)D, (9.50±2.00)cpm; and 1 week postoperation was (-2.05±0.33)D, (2.09±0.27)D, (9.34±1.70) cpm; and 3 months postoperation was (-2.19±0.35)D, (2.14±0.27)D, (9.63±1.76)cpm, respectively.There was no siguifieant difference of positive/negative relative accommodation and monocular accommodation facility between preoperation and postoperation (P >0.05 ). Conclusions The near point accommodation of postoperation has significant far migration. There is no significant difference of positive/negative relation accommodation, and monocular accommodation facility between preoperation and postoperation.
