CAJ | 학술논문

目的：评估矫正散光的有晶体眼后房型人工晶体（ TICL)植入术矫正合并散光的高度近视后视力、对比敏感度和主观视觉质量情况。方法对27例（52只眼)合并散光的高度近视患者行TICL植入术。术前及术后分别检查裸眼视力（ UCVA)、最佳矫正视力（ BCVA)、屈光度、无眩光对比敏感度和眩光对比敏感度，并进行满意度问卷调查。结果术后1个月和6个月UCVA和BCVA均明显高于术前（P<0.05)。术后1个月屈光度（-0.56±0.42)D和散光度数（-0.35±0.60)D与术后6个月屈光度（-0.58±0.22)D及散光度数（-0.31±0.42)D无显著性差异（P>0.05)。术后1个月和6个月时6.0、12.0和18.0 cpd各频率段无眩光对比敏感度值及眩光对比敏感度值与术前相比均显著提高（P<0.05)，术后6个月与术后1个月相比各频率段对比敏感度均无显著差异（P>0.05)；无眩光对比敏感度值和眩光对比敏感度值，在术前、术后1个月和术后6个月各时间段，两者间各频率段均无显著差异（P>0.05)；满意度调查满意度达100%。结论 TICL植入手术治疗合并散光的高度近视，术后视觉质量全面提高，是值得临床推广的手术方式。
목적：평고교정산광적유정체안후방형인공정체（ TICL)식입술교정합병산광적고도근시후시력、대비민감도화주관시각질량정황。방법대27례（52지안)합병산광적고도근시환자행TICL식입술。술전급술후분별검사라안시력（ UCVA)、최가교정시력（ BCVA)、굴광도、무현광대비민감도화현광대비민감도，병진행만의도문권조사。결과술후1개월화6개월UCVA화BCVA균명현고우술전（P<0.05)。술후1개월굴광도（-0.56±0.42)D화산광도수（-0.35±0.60)D여술후6개월굴광도（-0.58±0.22)D급산광도수（-0.31±0.42)D무현저성차이（P>0.05)。술후1개월화6개월시6.0、12.0화18.0 cpd각빈솔단무현광대비민감도치급현광대비민감도치여술전상비균현저제고（P<0.05)，술후6개월여술후1개월상비각빈솔단대비민감도균무현저차이（P>0.05)；무현광대비민감도치화현광대비민감도치，재술전、술후1개월화술후6개월각시간단，량자간각빈솔단균무현저차이（P>0.05)；만의도조사만의도체100%。결론 TICL식입수술치료합병산광적고도근시，술후시각질량전면제고，시치득림상추엄적수술방식。
Objective To assess the clinical outcomes about the visual qulitity of toric implantable contact lens ( TICL) implantation for high myopia with astigmatism. Methods Fifty-two eyes of 27 patients that underwent TICL implantation were examined. Uncorrected visual acuity( UCVA) ,best corrected visual acuity( BCVA) ,refraction,contrast sensitivity ( CS) with and without glare were evaluated before and after the treatment. Results Significant improvement in UCVA and BCVA were found at 1 month and 6 months after treatment (P<0. 05). The refraction at 1 month ( -0. 56 ± 0. 42)D and 6 months ( -0. 58 ± 0. 22)D after treatment were of no significant difference (P>0. 05), and the astigmatism at 1 month ( -0. 35 ± 0. 60)D and 6 months ( -0. 31 ± 0. 42)D after treatment were of no significant difference either (P>0. 05). The CS with and without glare were all significantly better than results before operation for 6. 0,12. 0 and 18. 0 cycles/degree (P<0. 05),but there were no significant difference between 1 month and 6 months after treatment (P>0. 05). No significant difference were found preoperatively,1 month after treatment and 6 months after treatment in terms of CS with and without glare (P>0. 05). The satisfaction of this investigation was 100%. Conclusion The TICL performed well in correcting high myopia with astigmatism,and it is a good surgical option for the treatment.