CAJ | 학술논문

目的：比较非洲偏远地区两种不同切口位置的手法小切口白内障手术的术后散光和视觉质量。方法将当地老年性白内障患者随机分成两组，分别采用上方巩膜隧道和颞侧巩膜隧道切口施行手法无缝线小切口白内障摘除联合人工晶体植入术。比较术后2周和术后3个月的角膜散光值和术后3个月视功能生存质量调查问卷得分。结果术后2周，上方巩膜隧道散光值大于颞侧，有统计学差异。术后3个月，两组的角膜散光值无统计学差别，视功能生存质量得分无统计学差异。结论在非洲偏远地区无论采用上方巩膜切口还是颞侧巩膜切口的手法小切口白内障手术，均获得良好的视觉质量和生存质量，两种切口对术后散光影响基本相同。
목적：비교비주편원지구량충불동절구위치적수법소절구백내장수술적술후산광화시각질량。방법장당지노년성백내장환자수궤분성량조，분별채용상방공막수도화섭측공막수도절구시행수법무봉선소절구백내장적제연합인공정체식입술。비교술후2주화술후3개월적각막산광치화술후3개월시공능생존질량조사문권득분。결과술후2주，상방공막수도산광치대우섭측，유통계학차이。술후3개월，량조적각막산광치무통계학차별，시공능생존질량득분무통계학차이。결론재비주편원지구무론채용상방공막절구환시섭측공막절구적수법소절구백내장수술，균획득량호적시각질량화생존질량，량충절구대술후산광영향기본상동。
Objective To compare astigmatism and visual function and quality of life for MSICS with both the Blumenthal and Ruit techniques in remote areas in Africa. Methods 68 patients with senile cataracts were divided into 2 groups A and B. They underwent routine cataract surgery via either a superior scleral tunnel incision or temporal scleral tunnel incision. Astigmatism and questionnaire were compared. Patients were examined 2 week, 3 month after surgery. Results Two weeks after surgery, group A got the larger mean astigmatism. It is statistically significant in both groups. No significant difference was found in both groups after three months. Conclusion Both groups achiever good vision and and visual function and quality of life.