国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2013年
12期
2393-2395
,共3页
白内障%高度近视%人工晶状体%超声乳化
白內障%高度近視%人工晶狀體%超聲乳化
백내장%고도근시%인공정상체%초성유화
cataract%high myopia%intraocular lens%phacoemulsification
目的：比较对高度近视并发白内障患者植入两种人工晶状体（ Bigbag和US）的临床疗效。<br> 方法：采用回顾性分析研究将56例95眼高度近视并发白内障患者分为A、B两组，A组31例55眼植入Bigbag人工晶状体；B组25例40眼植入US人工晶状体。术后3 mo测量并比较两组最佳矫正视力（ best corrected visual acuity，BCVA），前房深度，术后并发症的发生情况。<br> 结果：术后3mo，两组的BCVA 差异无统计学意义（χ2＝0.131，P＞O．05）。 A组较B组术后前房深度深，差异有统计学意义（P＜0．05）。术后3mo，自觉眼前黑影飘动较术前明显增多的患者，A组（5眼，9．1％）少于B组（10眼，25．0％），差异有统计学意义（P＜0．05）。术后3mo，A组（2眼，3．6％）后发性白内障的发生率较B组（3眼，7．5％）少，差异有统计学意义（ P＜0．05）。<br> 结论：对于高度近视并发白内障患者，Bigbag晶状体与US晶状体相比，在减少并发症、减少后发性白内障发生方面具有明显优势。
目的：比較對高度近視併髮白內障患者植入兩種人工晶狀體（ Bigbag和US）的臨床療效。<br> 方法：採用迴顧性分析研究將56例95眼高度近視併髮白內障患者分為A、B兩組，A組31例55眼植入Bigbag人工晶狀體；B組25例40眼植入US人工晶狀體。術後3 mo測量併比較兩組最佳矯正視力（ best corrected visual acuity，BCVA），前房深度，術後併髮癥的髮生情況。<br> 結果：術後3mo，兩組的BCVA 差異無統計學意義（χ2＝0.131，P＞O．05）。 A組較B組術後前房深度深，差異有統計學意義（P＜0．05）。術後3mo，自覺眼前黑影飄動較術前明顯增多的患者，A組（5眼，9．1％）少于B組（10眼，25．0％），差異有統計學意義（P＜0．05）。術後3mo，A組（2眼，3．6％）後髮性白內障的髮生率較B組（3眼，7．5％）少，差異有統計學意義（ P＜0．05）。<br> 結論：對于高度近視併髮白內障患者，Bigbag晶狀體與US晶狀體相比，在減少併髮癥、減少後髮性白內障髮生方麵具有明顯優勢。
목적：비교대고도근시병발백내장환자식입량충인공정상체（ Bigbag화US）적림상료효。<br> 방법：채용회고성분석연구장56례95안고도근시병발백내장환자분위A、B량조，A조31례55안식입Bigbag인공정상체；B조25례40안식입US인공정상체。술후3 mo측량병비교량조최가교정시력（ best corrected visual acuity，BCVA），전방심도，술후병발증적발생정황。<br> 결과：술후3mo，량조적BCVA 차이무통계학의의（χ2＝0.131，P＞O．05）。 A조교B조술후전방심도심，차이유통계학의의（P＜0．05）。술후3mo，자각안전흑영표동교술전명현증다적환자，A조（5안，9．1％）소우B조（10안，25．0％），차이유통계학의의（P＜0．05）。술후3mo，A조（2안，3．6％）후발성백내장적발생솔교B조（3안，7．5％）소，차이유통계학의의（ P＜0．05）。<br> 결론：대우고도근시병발백내장환자，Bigbag정상체여US정상체상비，재감소병발증、감소후발성백내장발생방면구유명현우세。
AIM: To compare the clinic effects of implanting two kinds of artificial lens ( Bigbag and US) in patients of high myopia with cataract. <br> METHODS: A total of 56 cases were studied retrospectively.Patients in group A ( 31 cases with 55 eyes ) were implanted in Bigbag intraocular lens and patients in group B ( 25 cases with 40 eyes ) were implanted in US intraocular lens.Best corrected visual acuity ( BCVA ) , anterior chamber depth, and post operative complications were measured and compared 3 months after surgery. <br> RESULTS: There was no significantly difference between group A and B in BCVA 3 months after surgery. Anterior depth of group A was deeper than group B, which was statistically significant difference ( P<0.05). Three month after surgery, patients in group A ( 5 eyes, 9.1%) who felt more floating shadows were less than patients in group B ( 10 eyes, 25.0%), which was statistically significant difference(P<0.05); The incidence of posterior capsule opacification ( PCO ) in group A ( 2 eyes, 3.6%) is less than patients in group B (3 eyes, 7.5%), which was statistically significant difference (P<0.05). <br> CONCLUSION:Bigbag has obvious advantages such as reducing complications and the incidence of PCO than US for patients of high myopia with cataract.
