CAJ | 학술논문

探讨选择性手术切口对有晶状体眼后房型人工晶状体（ ICL）术后散光控制的作用。方法高度近视102例（195只眼），随机分成选择性切口97只眼（A组）和颞侧角膜切口组98只眼（B组），通过术前、术后1周、1、3个月分别行角膜地形图检查，观察患者术后散光的变化。结果 A组术前平均角膜散光为（1．26±0.35）D，B组术前平均角膜散光为（1．28±0．38）D，两组差异无统计学意义。术后1周、1、3个月，A组平均散光分别为（0．93±0．29）D、（0．85±0．16）D、（0．80±0．13）D，B组平均散光分别为（1．32±0．33）D、（1．27±0．18）D、（1.25±0．20）D，两组差异有统计学意义。结论选择性手术切口能在一定程度上控制ICL术后散光。
탐토선택성수술절구대유정상체안후방형인공정상체（ ICL）술후산광공제적작용。방법고도근시102례（195지안），수궤분성선택성절구97지안（A조）화섭측각막절구조98지안（B조），통과술전、술후1주、1、3개월분별행각막지형도검사，관찰환자술후산광적변화。결과 A조술전평균각막산광위（1．26±0.35）D，B조술전평균각막산광위（1．28±0．38）D，량조차이무통계학의의。술후1주、1、3개월，A조평균산광분별위（0．93±0．29）D、（0．85±0．16）D、（0．80±0．13）D，B조평균산광분별위（1．32±0．33）D、（1．27±0．18）D、（1.25±0．20）D，량조차이유통계학의의。결론선택성수술절구능재일정정도상공제ICL술후산광。
Objective To evaluate the effect of the selective incisions on corneal astigmatism after ICL ( Implant-able Collamer Lens ) surgeries for high myopia .Methods This study included 195 high myopic eyes of 102 patients ran-domly assigned into 2 groups.Patients either received selective corneal incision (group A, 97 eyes) or temporal corneal in-cision (Group B, 98 eyes) in ICL surgeries.On the day before operation and at 1 week, 1 month and 3 month after surger-y, each patient was examined with corneal topography to evaluate the corneal astigmatism .Results Preoperative corneal a-stigmatism was 1.26 ±0.35 D in group A and 1.28 ±0.38 D in group B ( P >0.05).At 1 week, the astigmatism was 0.93 ±0.29 D in group A and 1.32 ±0.33 D in group B.At 1 month and 3 months, the astigmatism was 0.85 ±0.16 D and 0.80 ±0.13 in group A, and was significantly higher in group B (1.27 ±0.18 D and 1.25 ±0.20 D, respectively;P<0.01).Conclusion The selective incision could significantly reduce postoperative astigmatism after ICL surgery .