国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
9期
1599-1601
,共3页
Piggyback%Toric 人工晶状体%高度近视%散光
Piggyback%Toric 人工晶狀體%高度近視%散光
Piggyback%Toric 인공정상체%고도근시%산광
piggyback%Toric intraocular lens%high myopia%astigmatism
目的：观察piggyback(背驮式)散光矫正型人工晶状体[Toricintraocularlens(IOL)]植入在超高度近视合并角膜散光的白内障术中的临床应用效果。<br> 方法：选取2010-01/2013-06因超高度近视合并年龄相关性白内障及角膜散光在我院行超声乳化白内障摘除联合IOL植入术的患者60例,按随机对照原则分为观察组和对照组,观察组30例行piggybackToricIOL植入,背驮植入囊袋的两枚IOL分别为一枚正度数AcysoftIQToricIOL和一枚负度数折叠三片式IOL,对照组30例植入无散光矫正功能的普通折叠IOL。术后随访6mo,观察术后视力、IOL位置、术后残留散光及并发症等。<br> 结果：术后6mo,观察组裸眼视力从术前的3.52±0.03提高到4.78±0.01,对照组从术前的3.51±0.03上升到4.30±0.13,观察组裸眼视力明显高于对照组,差异有统计学意义(t=3.612,P<0.05)。两组术前角膜散光均较高,观察组1.70~4.27(平均2.97±0.87)D,对照组1.50~4.90(平均2.92±0.97)D,术后6mo观察组残留散光明显降低到0.25~1.00(平均0.48±0.23)D,而对照组仍残留散光1.00~5.20(平均2.87±1.11)D,两组间比较差异有统计学意义(t=-11.995,P<0.05)。术中及术后未见并发症。<br> 结论：PiggybackToricIOL植入术可帮助解决目前超高度近视合并角膜散光眼无匹配ToricIOL度数的难题,有效提高其白内障术后裸眼视力,降低散光。
目的：觀察piggyback(揹馱式)散光矯正型人工晶狀體[Toricintraocularlens(IOL)]植入在超高度近視閤併角膜散光的白內障術中的臨床應用效果。<br> 方法：選取2010-01/2013-06因超高度近視閤併年齡相關性白內障及角膜散光在我院行超聲乳化白內障摘除聯閤IOL植入術的患者60例,按隨機對照原則分為觀察組和對照組,觀察組30例行piggybackToricIOL植入,揹馱植入囊袋的兩枚IOL分彆為一枚正度數AcysoftIQToricIOL和一枚負度數摺疊三片式IOL,對照組30例植入無散光矯正功能的普通摺疊IOL。術後隨訪6mo,觀察術後視力、IOL位置、術後殘留散光及併髮癥等。<br> 結果：術後6mo,觀察組裸眼視力從術前的3.52±0.03提高到4.78±0.01,對照組從術前的3.51±0.03上升到4.30±0.13,觀察組裸眼視力明顯高于對照組,差異有統計學意義(t=3.612,P<0.05)。兩組術前角膜散光均較高,觀察組1.70~4.27(平均2.97±0.87)D,對照組1.50~4.90(平均2.92±0.97)D,術後6mo觀察組殘留散光明顯降低到0.25~1.00(平均0.48±0.23)D,而對照組仍殘留散光1.00~5.20(平均2.87±1.11)D,兩組間比較差異有統計學意義(t=-11.995,P<0.05)。術中及術後未見併髮癥。<br> 結論：PiggybackToricIOL植入術可幫助解決目前超高度近視閤併角膜散光眼無匹配ToricIOL度數的難題,有效提高其白內障術後裸眼視力,降低散光。
목적：관찰piggyback(배타식)산광교정형인공정상체[Toricintraocularlens(IOL)]식입재초고도근시합병각막산광적백내장술중적림상응용효과。<br> 방법：선취2010-01/2013-06인초고도근시합병년령상관성백내장급각막산광재아원행초성유화백내장적제연합IOL식입술적환자60례,안수궤대조원칙분위관찰조화대조조,관찰조30례행piggybackToricIOL식입,배타식입낭대적량매IOL분별위일매정도수AcysoftIQToricIOL화일매부도수절첩삼편식IOL,대조조30례식입무산광교정공능적보통절첩IOL。술후수방6mo,관찰술후시력、IOL위치、술후잔류산광급병발증등。<br> 결과：술후6mo,관찰조라안시력종술전적3.52±0.03제고도4.78±0.01,대조조종술전적3.51±0.03상승도4.30±0.13,관찰조라안시력명현고우대조조,차이유통계학의의(t=3.612,P<0.05)。량조술전각막산광균교고,관찰조1.70~4.27(평균2.97±0.87)D,대조조1.50~4.90(평균2.92±0.97)D,술후6mo관찰조잔류산광명현강저도0.25~1.00(평균0.48±0.23)D,이대조조잉잔류산광1.00~5.20(평균2.87±1.11)D,량조간비교차이유통계학의의(t=-11.995,P<0.05)。술중급술후미견병발증。<br> 결론：PiggybackToricIOL식입술가방조해결목전초고도근시합병각막산광안무필배ToricIOL도수적난제,유효제고기백내장술후라안시력,강저산광。
To assess the postoperative outcomes of piggyback implantation using Acrysof Toric intraocular lens ( lOL ) in high myopia combined with corneal astigmatism. <br> ●METHODS: Sixty patients who had phacoemulsification with lOL implantation due to high myopia, cataract and corneal astigmatism from January 2010 to June 2013 were randomly divided into observation group (piggyback Toric lOL implantation, both an Acrysoft lQ Toric lOL and a minus foldable acrylic three piece lOL were implanted in the capsular bag, n= 30) and control group (foldable lOL implantation, n = 30). Postoperative follow - up went on 6mo. lnformation collected included uncorrected visual acuity ( UCVA), lOL position, residual astigmatism and complications. <br> ● RESULTS: The UCVA increased from 3. 52 ± 0. 03 preoperatively to 4. 78±0. 01 at 6mo postoperatively in the observation group, from 3. 51±0. 03 preoperatively to 4. 30± 0. 13 at 6mo postoperatively in the control group. The observation group's postoperative UCVA was better than that of the control group. There was statistically significant difference ( t = 3. 612, P < 0. 05 ). The preoperative corneal astigmatism was 2. 97 ± 0. 87 (1. 70 -4. 27) D in the observation group and 2. 92 ± 0. 97 (1. 50 -4. 90)D in the control group. The postoperative residual astigmatism was 0. 48 ± 0. 23 ( 0. 25 - 1. 00 ) D in the observation group and 2. 87 ± 1. 11 (1. 00 - 5. 20) D in the control group. There was statistically significant difference postoperatively (t = - 11. 995, P < 0. 05) between the two groups. No complications occurred. <br> ●CONCLUSlON: Piggyback implantation using Toric lOL can help to solve the problem of no matching Toric lOL power for the high myopia combined with corneal astigmatism at the current stage. lt improves the UCVA and reduces the astigmatism after the cataract surgery.
