国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
8期
1550-1552
,共3页
单眼高度近视%白内障%超声乳化
單眼高度近視%白內障%超聲乳化
단안고도근시%백내장%초성유화
unilateral high myopia%cataract%phacoemulsification
目的：探讨单眼高度近视合并年龄相关性白内障行超声乳化白内障摘除联合后房型人工晶状体植入术的手术疗效。<br> 方法：回顾性病例研究。选择因单眼高度近视合并年龄相关性白内障而实施超声乳化白内障摘除联合后房型人工晶状体植入术的患者为研究对象,手术眼眼轴≥27mm,对侧非手术眼眼轴≤25mm,术后1,7d；1,3mo随访视力及并发症情况。<br> 结果：单眼高度近视合并年龄相关性白内障33例纳入此次研究,男7例,女26例,平均年龄68.8±9.26(41~87)岁,手术眼平均眼轴29.44±1.80(27.1~32.71)mm,对侧非手术眼平均眼轴23.39±0.92(21.72~24.90)mm,双眼平均眼轴差值6.06±1.97(2.78~9.92)mm。术前33眼平均矫正视力为0.02±0.02(光感~0.12)；术后3mo,矫正视力显著提高,平均为0.20±0.20(0.02~0.8),与术前比较差异有统计学意义(t=-5.278,P<0.05)。双眼眼轴差为2.01~5.00mm者10例,60%术后3mo矫正视力>0.3；双眼眼轴差为5.01~7.00mm者13例,术后3mo矫正视力46.2%>0.3,46.2%位于0.05~0.25；另有10例双眼眼轴差为7.01~9.99mm,90%术后3mo矫正视力<0.3,其中40%<0.05。术中术后无明显手术并发症发生。<br> 结论：单眼高度近视合并年龄相关性白内障行超声乳化白内障摘除联合后房型人工晶状体植入可有效提高术后视力,手术安全,其视力恢复程度与双眼眼轴差值相关。
目的：探討單眼高度近視閤併年齡相關性白內障行超聲乳化白內障摘除聯閤後房型人工晶狀體植入術的手術療效。<br> 方法：迴顧性病例研究。選擇因單眼高度近視閤併年齡相關性白內障而實施超聲乳化白內障摘除聯閤後房型人工晶狀體植入術的患者為研究對象,手術眼眼軸≥27mm,對側非手術眼眼軸≤25mm,術後1,7d；1,3mo隨訪視力及併髮癥情況。<br> 結果：單眼高度近視閤併年齡相關性白內障33例納入此次研究,男7例,女26例,平均年齡68.8±9.26(41~87)歲,手術眼平均眼軸29.44±1.80(27.1~32.71)mm,對側非手術眼平均眼軸23.39±0.92(21.72~24.90)mm,雙眼平均眼軸差值6.06±1.97(2.78~9.92)mm。術前33眼平均矯正視力為0.02±0.02(光感~0.12)；術後3mo,矯正視力顯著提高,平均為0.20±0.20(0.02~0.8),與術前比較差異有統計學意義(t=-5.278,P<0.05)。雙眼眼軸差為2.01~5.00mm者10例,60%術後3mo矯正視力>0.3；雙眼眼軸差為5.01~7.00mm者13例,術後3mo矯正視力46.2%>0.3,46.2%位于0.05~0.25；另有10例雙眼眼軸差為7.01~9.99mm,90%術後3mo矯正視力<0.3,其中40%<0.05。術中術後無明顯手術併髮癥髮生。<br> 結論：單眼高度近視閤併年齡相關性白內障行超聲乳化白內障摘除聯閤後房型人工晶狀體植入可有效提高術後視力,手術安全,其視力恢複程度與雙眼眼軸差值相關。
목적：탐토단안고도근시합병년령상관성백내장행초성유화백내장적제연합후방형인공정상체식입술적수술료효。<br> 방법：회고성병례연구。선택인단안고도근시합병년령상관성백내장이실시초성유화백내장적제연합후방형인공정상체식입술적환자위연구대상,수술안안축≥27mm,대측비수술안안축≤25mm,술후1,7d；1,3mo수방시력급병발증정황。<br> 결과：단안고도근시합병년령상관성백내장33례납입차차연구,남7례,녀26례,평균년령68.8±9.26(41~87)세,수술안평균안축29.44±1.80(27.1~32.71)mm,대측비수술안평균안축23.39±0.92(21.72~24.90)mm,쌍안평균안축차치6.06±1.97(2.78~9.92)mm。술전33안평균교정시력위0.02±0.02(광감~0.12)；술후3mo,교정시력현저제고,평균위0.20±0.20(0.02~0.8),여술전비교차이유통계학의의(t=-5.278,P<0.05)。쌍안안축차위2.01~5.00mm자10례,60%술후3mo교정시력>0.3；쌍안안축차위5.01~7.00mm자13례,술후3mo교정시력46.2%>0.3,46.2%위우0.05~0.25；령유10례쌍안안축차위7.01~9.99mm,90%술후3mo교정시력<0.3,기중40%<0.05。술중술후무명현수술병발증발생。<br> 결론：단안고도근시합병년령상관성백내장행초성유화백내장적제연합후방형인공정상체식입가유효제고술후시력,수술안전,기시력회복정도여쌍안안축차치상관。
AIM: To observe the clinical effect of phacoemulsification and posterior chamber intraocular lens ( IOL) implantation in the treatment of unilateral high myopia combined with age-related cataract. <br> METHODS: A retrospective clinical study was carried out in a single ophthalmology center. All patients diagnosed of unilateral high myopia with age- related cataract were performed phacoemulsification and posterior chamber IOL implantation. The axial length of operation eye was ≥27mm, and the axial length of unoperated fellow eye was≤25mm. Visual acuity and complications were followed up for 1, 7d, 1, 3mo postoperative. <br> RESULTS:Thirty-three patients with average age 68. 8±9. 26 (41-87) y were enrolled in this study, 7 cases were men, 26 cases were women. The mean axial length of operation eyes was 29. 44±1. 80(27. 1-32. 71) mm and the mean axial length of unoperated fellow eyes was 23. 39±0.92 ( 21. 72 - 24. 90 ) mm. The average axial length difference of binocular eyes was 6. 06±1. 97(2. 78-9. 92) mm. The best corrected visual acuity ( BCVA ) increased from 0. 02±0. 02(light perception~0. 12) preoperatively to 0. 20±0. 20 ( 0. 02 - 0. 8 ) at 3mo postoperatively. There was statistically significant difference (t= -5. 278, P<0. 05). Among the 10 patients whose axial length difference of binocular eyes was 2. 01 - 5. 00mm, 60% of their postoperative BCVA were >0. 3. Among the 13 patients with binocular axial length difference of 5. 01-7. 00mm, 46.2% of BCVA were >0. 3,46.2% achieved 0. 05-0. 25. Another 10 patients of binocular axial length difference between 7. 01-9. 99mm, 90% of BCVA were <0. 3, of which 40% were<0. 05. No complications occurred during operative and postoperative . <br> CONCLUSION: Phacoemulsification and posterior chamber IOL implantation can effectively improve the postoperative visual acuity and it is safe for unilateral high myopic patients combined with age-related cataract. The recovery of visual acuity is related with binocular axial length difference.
