CAJ | 학술논문

目的：通过对年龄相关性白内障患者行2．8 mm透明角膜切口超声乳化联合折叠式人工晶体（ IOL）植入术后30d内角膜曲率变化的分析，观察白内障患者术后术源性散光的恢复情况。方法对35例年龄相关性白内障患者行2．8 mm透明角膜切口超声乳化联合折叠式人工晶体植入术，所有手术均由同一术者完成，由同一检查者使用同一台角膜曲率仪、角膜地形图仪，对患者术眼术前、术后1d、术后7d、术后30d的角膜曲率、角膜地形图进行测量，用SPSS11．0统计分析软件进行分析。结果患者术眼术后1d，7d的角膜曲率、角膜地形图较术前有显著差异，术后30d较术前差异无显著性。结论2．8mm透明角膜切口超声乳化联合人工晶体植入术后30d患者术眼术源性散光基本消失，表明术后30d角膜手术切口大致恢复至术前状态。
목적：통과대년령상관성백내장환자행2．8 mm투명각막절구초성유화연합절첩식인공정체（ IOL）식입술후30d내각막곡솔변화적분석，관찰백내장환자술후술원성산광적회복정황。방법대35례년령상관성백내장환자행2．8 mm투명각막절구초성유화연합절첩식인공정체식입술，소유수술균유동일술자완성，유동일검사자사용동일태각막곡솔의、각막지형도의，대환자술안술전、술후1d、술후7d、술후30d적각막곡솔、각막지형도진행측량，용SPSS11．0통계분석연건진행분석。결과환자술안술후1d，7d적각막곡솔、각막지형도교술전유현저차이，술후30d교술전차이무현저성。결론2．8mm투명각막절구초성유화연합인공정체식입술후30d환자술안술원성산광기본소실，표명술후30d각막수술절구대치회복지술전상태。
Objective To observe the changes in corneal curvature after phacoemulsification ( PHACO) and IOL implantation on age-related cataract patients with 2.8mm transparent corneal incision in 30 days.Methods Thirty five cases of age-related cataract patients undergone 2.8mm transparent corneal incision phacoemulsification and IOL im-plantation .Corneal curvature was measured by the same cornea curvature instrument ,by the same people before the sur-gery ,one day after surgery ,seven days after surgery and thirty days after surgery respectivly .The results were analyzed by SPSS11.0.Results The changes in corneal curvature were significant after 1 day and 7 days compared with preoperative corneal curvature .But there was no significant difference in postoperative 30 days compared with preoperative .Conclu-sion Astigmatism disappears 30 days after the 2.8mm transparent corneal incision phacoemulsification and IOL implan-tation.So it concludes that the corneal incision returns to the preoperative status in 30 days after the surgery .