CAJ | 학술논문

目的探讨超声乳化白内障吸出联合Bigbag人工晶状体植入在高度近视合并白内障眼中的临床应用效果.方法临床病例对比研究.对2009年10月至2011年12月在昆明市第一人民医院眼科就诊的63例(94只眼)高度近视合并白内障患者行超声乳化吸出按患者意愿选取不同晶状体联合人工晶状体植入,比较Bigbag组48只眼与Softec Ⅰ组46只眼术后裸眼视力、最佳矫正视力、屈光状态、眼压及手术并发症.结果两组患者分别与术前最佳矫正视力、屈光度比较差异有统计学意义(P＜0.05),两组间术后最佳矫正视力、眼压比较差异无统计学意义(P ＞0.05),Bigbag组患者术后无后囊膜皱褶,与Softec Ⅰ组比较差异有统计学意义(P＜0.05).结论对高度近视合并白内障患者行超声乳化白内障吸出联合Bigbag人工品状体植入术町达到较理想术后视力,是一种安全有效地治疗方法.Bigbag人工晶状体对后囊膜有稳定地支撑作用,可明显减少术后并发症的发生,特别是后囊膜皱褶和后发障,让高度近视患者获得更好地视觉质量.
목적 탐토초성유화백내장흡출연합Bigbag인공정상체식입재고도근시합병백내장안중적림상응용효과.방법 림상병례대비연구.대2009년10월지2011년12월재곤명시제일인민의원안과취진적63례(94지안)고도근시합병백내장환자행초성유화흡출안환자의원선취불동정상체연합인공정상체식입,비교Bigbag조48지안여Softec Ⅰ조46지안술후라안시력、최가교정시력、굴광상태、안압급수술병발증.결과 량조환자분별여술전최가교정시력、굴광도비교차이유통계학의의(P＜0.05),량조간술후최가교정시력、안압비교차이무통계학의의(P ＞0.05),Bigbag조환자술후무후낭막추습,여Softec Ⅰ조비교차이유통계학의의(P＜0.05).결론 대고도근시합병백내장환자행초성유화백내장흡출연합Bigbag인공품상체식입술정체도교이상술후시력,시일충안전유효지치료방법.Bigbag인공정상체대후낭막유은정지지탱작용,가명현감소술후병발증적발생,특별시후낭막추습화후발장,양고도근시환자획득경호지시각질량.
Objective To explore the clinical application effect of phacoemulsification with Bigbag intraocular lens implantation in high myopia with cataract.Methods In 63 cases (94 eyes) of high myopia with cataract underwent phacoemulsification combined with intraocular lens implantation,group Bigbag compared with group Softec Ⅰ postoperative on visual acuity,best corrected visual acuity,refraction,intraocular pressure and complications of operation.Results The best corrected visual acuity and diopter had statistically significant difference (P ＜0.05) between two groups preoperatively,while the best corrected visual acuity and intraocular pressure had no significant difference (P ＞0.05) postoperatively.Group Bigbag patients after posterior capsular wrinkle,cystoid macular edema,retinal detachment was less compared with group Softec Ⅰ.Conclusions Bigbag intraocular lens implantation is a safe and effective treatment method for high myopia with cataract after phacoemulsification.Bigbag intraocular lens has a stable supporting role on posterior capsule,can significantly reduce postoperative complications especially the posterior capsular wrinkle and posterior capsule opacification,so that highly myopic patients can obtain better visual quality.