CAJ | 학술논문

回顾性分析在我院行有晶体眼后房型人工晶体植入术患者40例(79只眼)。随访内容包括裸眼视力、矫正视力、屈光度、拱高、眼压、内皮细胞计数、散光型人工晶体柱镜轴位等。术后2年及以上裸眼视力平均为0.830±0.269,矫正视力平均为0.980±0.241,等效球镜度平均值为(-0.66±1.08)D；散光型人工晶体植入29眼,其中24眼晶体轴向旋转≤15o,1眼<30o,4眼≥30o；眼压平均值(1.76±0.41) kPa；角膜内皮细胞计数丢失率为11.18%；术后6个月及2年及以上的拱高平均值分别为(0.510±0.141)、(0.442±0.117) mm,两者比较差异有统计学意义( P <0.05),两项平均值均处于拱高安全值范围之内。有晶体眼后房型人工晶体植入术比较安全,有效,并可提供长期稳定的屈光状态。
회고성분석재아원행유정체안후방형인공정체식입술환자40례(79지안)。수방내용포괄라안시력、교정시력、굴광도、공고、안압、내피세포계수、산광형인공정체주경축위등。술후2년급이상라안시력평균위0.830±0.269,교정시력평균위0.980±0.241,등효구경도평균치위(-0.66±1.08)D；산광형인공정체식입29안,기중24안정체축향선전≤15o,1안<30o,4안≥30o；안압평균치(1.76±0.41) kPa；각막내피세포계수주실솔위11.18%；술후6개월급2년급이상적공고평균치분별위(0.510±0.141)、(0.442±0.117) mm,량자비교차이유통계학의의( P <0.05),량항평균치균처우공고안전치범위지내。유정체안후방형인공정체식입술비교안전,유효,병가제공장기은정적굴광상태。
This restrospective case included 40 patients(79eyes)who underwent implantable collamer lens or toric implantable collamer lens implacement. Uncorrected and corrected distance visual acuities, refractions, posterior chamber intraocular lens vault,intraocular pressure,endothelial cell loss,cylinder axis of the toric intraocular lens were evaluated for moderate to high myopia and astigmatism. 2 years or above after operation mean uncorrected and corrected distance visual acuities were 0.830±0.269 and 0.980±0.241 respectively. The mean spherical equiva-lent was ( -0.66±1.08) D postoperatively. 29 eyes had implanted toric intraocular lens, which 24 eyes were un-der 15 degrees of the intended axis, 1 eye was under 30 degrees of the intended axis and 4 eyes were above 30 de-grees of the intended axis. The mean intraocular pressure was(1.76±0.41)kPa. The endothelial cell density loss was 11.18%. The mean vaults at 6 months and 2 years or above were (0.510±0.141)mm and (0.442±0.117) mm respectively. A statistically significant difference was found ( P <0.05 ) . Two sets of data were in the normal range. Phakic posterior chamber intraocular lens implantation appears safe and effective,which provides long-term predictable,stable refractive results.