中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
17期
140-142
,共3页
白内障%超声乳化%角膜散光%Astramax角膜工作站%角膜缘松解切口
白內障%超聲乳化%角膜散光%Astramax角膜工作站%角膜緣鬆解切口
백내장%초성유화%각막산광%Astramax각막공작참%각막연송해절구
Cataract%Phacoemulsification%Corneal astigmatism%Astramax cornea workstation%Limbal relaxing incision
目的：探讨Astramax角膜工作站引导下白内障超声乳化联合人工晶体植入术中的角膜缘弧形切开对角膜散光的疗效。方法：白内障术前角膜散光41眼，随机分为治疗组和对照组。对照组行超声乳化联合人工晶状体植入术。治疗组在常规超声乳化完成后，根据术前Astramax角膜工作站引导下的角膜地形图检查结果，于最高屈光度的子午线上做一对角膜缘松解切口。结果：两组患者术后视力较术前均有提高；治疗组患者术后1周、1月、3月平均角膜散光度与术前平均角膜散光度相比差异有统计学意义，优于对照组。结论：Astramax角膜工作站引导下超乳术中于角膜最高屈光度的子午线上行角膜缘松解切口，可有效降低术前散光，方法安全、简便，值得推广。
目的：探討Astramax角膜工作站引導下白內障超聲乳化聯閤人工晶體植入術中的角膜緣弧形切開對角膜散光的療效。方法：白內障術前角膜散光41眼，隨機分為治療組和對照組。對照組行超聲乳化聯閤人工晶狀體植入術。治療組在常規超聲乳化完成後，根據術前Astramax角膜工作站引導下的角膜地形圖檢查結果，于最高屈光度的子午線上做一對角膜緣鬆解切口。結果：兩組患者術後視力較術前均有提高；治療組患者術後1週、1月、3月平均角膜散光度與術前平均角膜散光度相比差異有統計學意義，優于對照組。結論：Astramax角膜工作站引導下超乳術中于角膜最高屈光度的子午線上行角膜緣鬆解切口，可有效降低術前散光，方法安全、簡便，值得推廣。
목적：탐토Astramax각막공작참인도하백내장초성유화연합인공정체식입술중적각막연호형절개대각막산광적료효。방법：백내장술전각막산광41안，수궤분위치료조화대조조。대조조행초성유화연합인공정상체식입술。치료조재상규초성유화완성후，근거술전Astramax각막공작참인도하적각막지형도검사결과，우최고굴광도적자오선상주일대각막연송해절구。결과：량조환자술후시력교술전균유제고；치료조환자술후1주、1월、3월평균각막산광도여술전평균각막산광도상비차이유통계학의의，우우대조조。결론：Astramax각막공작참인도하초유술중우각막최고굴광도적자오선상행각막연송해절구，가유효강저술전산광，방법안전、간편，치득추엄。
Objective: To investigate clinical effects of Astramax corneal workstation on corneal releasing incisions during phacoemulsification and intraocular lens implantation. Methods:41 eyes were randomly divided into two groups; the control group was given phacoemulsification and intraocular lens implantation; anther was given corneal releasing incisions guided by Astramax corneal workstation. Results: After treatment, visual acuity of patients in two groups was improved; in 1 week, 1 month and 3 months, the difference of average corneal astigmatism was statistically significant, and the treatment group was better. Conclusion:Corneal releasing incisions in the phacoemulsification guided by Astramax corneal workstation can reduce preoperative astigmatism effectively, was safe, simple, and is worthy of promotion.
