CAJ | 학술논문

目的：比较不同超声乳化术切口对白内障患者术后角膜散光的影响。 　　方法：选取我院收治的白内障患者,将患者随机分为对照组(与角膜缘相反弧形巩膜隧道切口组)和观察组(角膜上方或颞上方透明角膜切口组)。比较分析两组患者术后1 wk；1,3 mo不同时间角膜散光度的变化情况及视力的变化情况。 　　结果：与对照组患者相比,观察组患者术后1 wk；1,3 mo平均角膜散光度及手术源性角膜散光度均明显降低,裸眼视力及矫正视力均明显提高,差异具有统计学意义(P<0.05)。与对照组患者相比,观察组患者手术所用时间明显缩短,差异具有统计学意义(P<0.05)。 　　结论：角膜中心远处的小切口超声乳化术,能够减少患者术后散光度,促进患者术后视力提高,为进一步加强患者的临床治疗效果提供了保障。
목적：비교불동초성유화술절구대백내장환자술후각막산광적영향。 　　방법：선취아원수치적백내장환자,장환자수궤분위대조조(여각막연상반호형공막수도절구조)화관찰조(각막상방혹섭상방투명각막절구조)。비교분석량조환자술후1 wk；1,3 mo불동시간각막산광도적변화정황급시력적변화정황。 　　결과：여대조조환자상비,관찰조환자술후1 wk；1,3 mo평균각막산광도급수술원성각막산광도균명현강저,라안시력급교정시력균명현제고,차이구유통계학의의(P<0.05)。여대조조환자상비,관찰조환자수술소용시간명현축단,차이구유통계학의의(P<0.05)。 　　결론：각막중심원처적소절구초성유화술,능구감소환자술후산광도,촉진환자술후시력제고,위진일보가강환자적림상치료효과제공료보장。
AIM: To compare the effect of different phacoemulsification incision on postoperative corneal astigmatism for cataract patients. METHODS: The cataract patients were selected in our hospital. The patients were divided into control group ( corneal limbus opposite curved scleral tunnel incision group) and observation group ( above the top of cornea or temporal transparent corneal incision group ) randomly. At 1wk; 1 and 3mo after surgery, the change of corneal astigmatism and vision of the patients in two groups were compared and analyzed. RESULTS:Compared with control group, 1wk; 1 and 3mo after surgery, the average corneal astigmatism and surgically induced corneal astigmatism of the patients in observation group were decreased significantly. The visual acuity and corrected visual acuity were increased significantly. There was statistically significant (P<0. 05). Compared with control group, the time for the operation of the patients in observation group was shorted significantly, there were statistically significant (P<0. 05). CONCLUSION: Center distance and small incision corneal phacoemulsification can reduce postoperative astigmatism and improve postoperative visual acuity for cataract patients. It provides guarantee for further strengthen the clinical treated effect for cataract patients.