医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2014年
14期
42-44,89
,共4页
有晶状体眼%后房型人工晶状体%高度近视
有晶狀體眼%後房型人工晶狀體%高度近視
유정상체안%후방형인공정상체%고도근시
phakic eye%posterior chamber intraocular lens%high myopia
为了评估有晶状体眼后房型人工晶状体植入术矫治高度近视的有效性、预测性及安全性,选择高度近视患者27例50眼,观察术前及术后的裸眼视力、最佳矫正视力、屈光度、内皮细胞计数、眼内压及并发症。7年随访结果发现,裸眼视力明显优于术前裸眼视力,12%最佳矫正视力比术前最佳矫正视力多看1行或多行。术后1个月角膜内皮计数较术前丢失4.12%,但术后3年、7年随访角膜内皮计数同术后1个月无统计学差异。随访中所有患者均未出现严重并发症。因此,该手术方法在高度近视的矫治中安全、有效、可预测。
為瞭評估有晶狀體眼後房型人工晶狀體植入術矯治高度近視的有效性、預測性及安全性,選擇高度近視患者27例50眼,觀察術前及術後的裸眼視力、最佳矯正視力、屈光度、內皮細胞計數、眼內壓及併髮癥。7年隨訪結果髮現,裸眼視力明顯優于術前裸眼視力,12%最佳矯正視力比術前最佳矯正視力多看1行或多行。術後1箇月角膜內皮計數較術前丟失4.12%,但術後3年、7年隨訪角膜內皮計數同術後1箇月無統計學差異。隨訪中所有患者均未齣現嚴重併髮癥。因此,該手術方法在高度近視的矯治中安全、有效、可預測。
위료평고유정상체안후방형인공정상체식입술교치고도근시적유효성、예측성급안전성,선택고도근시환자27례50안,관찰술전급술후적라안시력、최가교정시력、굴광도、내피세포계수、안내압급병발증。7년수방결과발현,라안시력명현우우술전라안시력,12%최가교정시력비술전최가교정시력다간1행혹다행。술후1개월각막내피계수교술전주실4.12%,단술후3년、7년수방각막내피계수동술후1개월무통계학차이。수방중소유환자균미출현엄중병발증。인차,해수술방법재고도근시적교치중안전、유효、가예측。
To evaluate the efficacy ,predictability and safety of phakic posterior chamber intraocular lens implantation to correct high myopia ,50 eyes from 27 patients with myopia were selected to observe uncorrected visual acuity (UCVA ) , best spectacle-corrected visual acuity (BSCVA) ,refraction ,endothelial count ,intraocular pressure (IOP) preoperatively and postoperatively and complications .During the 7-year follow-up , UCVA was significantly improved , and BSCVA gained one or more lines of their preoperative BSCVA .In the 1-month postoperative examination ,the loss of endothelial cells reached 4 .12% ,but there was no significant ECC loss at 3-year postoperative examination or at 7-year examination . During the 7-year follow-up ,all patients were not found severe complications .Therefore ,the implantation of the posterior chamber intraocular lens were proved to be safe ,effective ,and predictable to correct high myopia in phakic eyes .