中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
11期
1452-1454
,共3页
吴连井%周武英%楼倚天%罗浩%叶国宁%李卫%张敏%黄茜
吳連井%週武英%樓倚天%囉浩%葉國寧%李衛%張敏%黃茜
오련정%주무영%루의천%라호%협국저%리위%장민%황천
小切口%白内障%超声乳化%高度近视%人工晶状体
小切口%白內障%超聲乳化%高度近視%人工晶狀體
소절구%백내장%초성유화%고도근시%인공정상체
Small incision%Cataract%Phacoemulsification%High myopia%IOL
目的 回顾性分析小切口非超声乳化白内障摘除联合人工晶状体植入治疗高度近视白内障的临床疗效.方法 对于2007年1月至2012年6月在衢化医院眼科中心收治的62例(74只眼)高度近视白内障患者行小切口白内障摘除联合人工晶状体植入,术后随访3个月,观察术后视力、屈光度变化,并对相关并发症进行分析.结果 (1)术后视力:最好视力0.6,最低视力眼前手动,术后3个月65只眼(87.8%)视力优于术前,眼轴<30 mm组(25.87~29.41 mm) 51只眼;眼轴≥30 mm组(30.02~31.47 mm) 14只眼;其它9只眼视力与术前相比无变化.其中6只眼黄斑区脉络膜萎缩,2只眼视神经萎缩,1只眼视网膜色素变性.(2)术前及术后1天、1周、3个月测得角膜平均散光度分别为:(2.43±0.72)D,(0.75±0.21)D,(0.52±0.33)D,(0.50±0.31)D.术前术后散光度比较有统计学意义(P<0.05).术后各时间段角膜散光之间差异无统计学意义(P>0.05).(3)术中、术后并发症:后囊破裂6只眼(8.1%),行前段玻璃体切除后,4只眼后囊中央破口直径小于5 mm者植入后房型人工晶状体,2只眼破口超过2个象限者植入前房型人工晶状体.一过性角膜水肿38只眼(51.4%),1周后消退.暂时性高眼压8只眼(10.8%),1天后恢复正常眼压.结论 小切口非超声乳化白内障摘除人工晶状体植入治疗高度近视白内障术后视功能恢复良好,可以在无超声乳化设备的基层医院开展.
目的 迴顧性分析小切口非超聲乳化白內障摘除聯閤人工晶狀體植入治療高度近視白內障的臨床療效.方法 對于2007年1月至2012年6月在衢化醫院眼科中心收治的62例(74隻眼)高度近視白內障患者行小切口白內障摘除聯閤人工晶狀體植入,術後隨訪3箇月,觀察術後視力、屈光度變化,併對相關併髮癥進行分析.結果 (1)術後視力:最好視力0.6,最低視力眼前手動,術後3箇月65隻眼(87.8%)視力優于術前,眼軸<30 mm組(25.87~29.41 mm) 51隻眼;眼軸≥30 mm組(30.02~31.47 mm) 14隻眼;其它9隻眼視力與術前相比無變化.其中6隻眼黃斑區脈絡膜萎縮,2隻眼視神經萎縮,1隻眼視網膜色素變性.(2)術前及術後1天、1週、3箇月測得角膜平均散光度分彆為:(2.43±0.72)D,(0.75±0.21)D,(0.52±0.33)D,(0.50±0.31)D.術前術後散光度比較有統計學意義(P<0.05).術後各時間段角膜散光之間差異無統計學意義(P>0.05).(3)術中、術後併髮癥:後囊破裂6隻眼(8.1%),行前段玻璃體切除後,4隻眼後囊中央破口直徑小于5 mm者植入後房型人工晶狀體,2隻眼破口超過2箇象限者植入前房型人工晶狀體.一過性角膜水腫38隻眼(51.4%),1週後消退.暫時性高眼壓8隻眼(10.8%),1天後恢複正常眼壓.結論 小切口非超聲乳化白內障摘除人工晶狀體植入治療高度近視白內障術後視功能恢複良好,可以在無超聲乳化設備的基層醫院開展.
목적 회고성분석소절구비초성유화백내장적제연합인공정상체식입치료고도근시백내장적림상료효.방법 대우2007년1월지2012년6월재구화의원안과중심수치적62례(74지안)고도근시백내장환자행소절구백내장적제연합인공정상체식입,술후수방3개월,관찰술후시력、굴광도변화,병대상관병발증진행분석.결과 (1)술후시력:최호시력0.6,최저시력안전수동,술후3개월65지안(87.8%)시력우우술전,안축<30 mm조(25.87~29.41 mm) 51지안;안축≥30 mm조(30.02~31.47 mm) 14지안;기타9지안시력여술전상비무변화.기중6지안황반구맥락막위축,2지안시신경위축,1지안시망막색소변성.(2)술전급술후1천、1주、3개월측득각막평균산광도분별위:(2.43±0.72)D,(0.75±0.21)D,(0.52±0.33)D,(0.50±0.31)D.술전술후산광도비교유통계학의의(P<0.05).술후각시간단각막산광지간차이무통계학의의(P>0.05).(3)술중、술후병발증:후낭파렬6지안(8.1%),행전단파리체절제후,4지안후낭중앙파구직경소우5 mm자식입후방형인공정상체,2지안파구초과2개상한자식입전방형인공정상체.일과성각막수종38지안(51.4%),1주후소퇴.잠시성고안압8지안(10.8%),1천후회복정상안압.결론 소절구비초성유화백내장적제인공정상체식입치료고도근시백내장술후시공능회복량호,가이재무초성유화설비적기층의원개전.
Objective To analyze the efficacy of small incision non-phacoemulsification cataract intraocular lens implantation treatment of cataract with high myopia retrospectively.Methods A total of 62 cases (74 eyes) of high myopia with cataract received small incision cataract extraction and intraocular lens implantation and were followed up for 1 month to 3 months.One day,1 week,and three months were observed postoperatively.Visual acuity,refractive changes and related complications were analyzed.Results (1) Visual acuity:65 eyes (87.8%) corrected visual acuity better than preoperative.After three months,in the axial length less than 30mm group (51 eyes),corrected visual acuity was greater than or equal to 0.3,18 (35.3%) less than 0.02-0.3,20 (39.2%) less than or equal to 30mm group (14 eyes).The above vision standards,the number of eyes were 3(21.4%),9(64.3%),2 (14.3%).(2) Postoperative complications:6 eyes (8.2%) had poster capsule rupture,38 (58.4%) displayed corneal edema,8(12.3%) temporary high intraocular pressure.Postoperative astigmatism:From 74 eyes,preoperative and postoperative one day in January,March,measured mean comeal astigmatism were (2.43±0.72)D,(0.75±0.21)D,(0.52±0.33)D,(0.50±0.31)D.Preoperative and postoperative astigmatism was statistically significant (P <0.05),had no significant difference in the postoperative period corneal astigmatism between (P >0.05).Conclusions Small incision non-phacoemulsification cataract intraocular lens implantation treatment of cataract with high myopia has good postoperative recovery of visual function,can be used as phacoemulsification routine supplementation technique.