中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2013年
7期
432-435
,共4页
李姝燕%张敏%杜驰%罗林翼%温秀媚
李姝燕%張敏%杜馳%囉林翼%溫秀媚
리주연%장민%두치%라림익%온수미
后发性白内障%后囊膜切开术%人工晶状体,可调节
後髮性白內障%後囊膜切開術%人工晶狀體,可調節
후발성백내장%후낭막절개술%인공정상체,가조절
Posterior capsular opacification%Capsulotomy%Intraocular lens,accommodative
目的 探讨后发性白内障及Nd∶YAG激光后囊膜切开术对1CU可调节人工晶状体调节功能的影响.方法 回顾性病例研究.收集20例(24眼)白内障超声乳化联合1CU可调节人工晶状体植入术后发生后发性白内障的患者,分别于人工晶状体植入术后3个月、Nd∶YAG激光后囊膜切开术前1d、Nd∶YAG激光后囊膜切开术后3个月随访,检测裸眼远视力、最佳矫正远视力(5 m),以及远视力矫正下的中(50 cm)、近距离视力(33 cm),并分别用主觉近点法、离焦法检测术眼调节幅度.各时期的检测数据用重复测量资料的方差分析进行检验.结果 1CU可调节人工晶状体植入术后3个月、行Nd∶YAG激光后囊膜切开术前1d、切开术后3个月,术眼裸眼远视力(F=108.87,P＜0.01)、最佳矫正远视力(F=116.97,P＜0.01)、远视力矫正下的中距离视力(F=79.89,P＜0.01)、远视力矫正下的近视力(F=118.84,P＜0.01),以及近点法和离焦法检测的调节幅度(F=81.78,P＜0.01)差异均有统计学意义.行Nd∶YAG激光后囊膜切开术前1d均较植入术后3个月时降低,Nd∶YAG激光后囊膜切开术后3个月,远、中、近距离视力及调节幅度明显改善,其差异均有统计学意义.2种调节幅度检查方法测量值之间的差异无统计学意义(F=0.272,P＞0.05).结论 后发性白内障的发生使1CU可调节人工晶状体植入术后术眼调节功能明显下降,Nd∶YAG激光后囊膜切开术后术眼调节功能恢复.
目的 探討後髮性白內障及Nd∶YAG激光後囊膜切開術對1CU可調節人工晶狀體調節功能的影響.方法 迴顧性病例研究.收集20例(24眼)白內障超聲乳化聯閤1CU可調節人工晶狀體植入術後髮生後髮性白內障的患者,分彆于人工晶狀體植入術後3箇月、Nd∶YAG激光後囊膜切開術前1d、Nd∶YAG激光後囊膜切開術後3箇月隨訪,檢測裸眼遠視力、最佳矯正遠視力(5 m),以及遠視力矯正下的中(50 cm)、近距離視力(33 cm),併分彆用主覺近點法、離焦法檢測術眼調節幅度.各時期的檢測數據用重複測量資料的方差分析進行檢驗.結果 1CU可調節人工晶狀體植入術後3箇月、行Nd∶YAG激光後囊膜切開術前1d、切開術後3箇月,術眼裸眼遠視力(F=108.87,P＜0.01)、最佳矯正遠視力(F=116.97,P＜0.01)、遠視力矯正下的中距離視力(F=79.89,P＜0.01)、遠視力矯正下的近視力(F=118.84,P＜0.01),以及近點法和離焦法檢測的調節幅度(F=81.78,P＜0.01)差異均有統計學意義.行Nd∶YAG激光後囊膜切開術前1d均較植入術後3箇月時降低,Nd∶YAG激光後囊膜切開術後3箇月,遠、中、近距離視力及調節幅度明顯改善,其差異均有統計學意義.2種調節幅度檢查方法測量值之間的差異無統計學意義(F=0.272,P＞0.05).結論 後髮性白內障的髮生使1CU可調節人工晶狀體植入術後術眼調節功能明顯下降,Nd∶YAG激光後囊膜切開術後術眼調節功能恢複.
목적 탐토후발성백내장급Nd∶YAG격광후낭막절개술대1CU가조절인공정상체조절공능적영향.방법 회고성병례연구.수집20례(24안)백내장초성유화연합1CU가조절인공정상체식입술후발생후발성백내장적환자,분별우인공정상체식입술후3개월、Nd∶YAG격광후낭막절개술전1d、Nd∶YAG격광후낭막절개술후3개월수방,검측라안원시력、최가교정원시력(5 m),이급원시력교정하적중(50 cm)、근거리시력(33 cm),병분별용주각근점법、리초법검측술안조절폭도.각시기적검측수거용중복측량자료적방차분석진행검험.결과 1CU가조절인공정상체식입술후3개월、행Nd∶YAG격광후낭막절개술전1d、절개술후3개월,술안라안원시력(F=108.87,P＜0.01)、최가교정원시력(F=116.97,P＜0.01)、원시력교정하적중거리시력(F=79.89,P＜0.01)、원시력교정하적근시력(F=118.84,P＜0.01),이급근점법화리초법검측적조절폭도(F=81.78,P＜0.01)차이균유통계학의의.행Nd∶YAG격광후낭막절개술전1d균교식입술후3개월시강저,Nd∶YAG격광후낭막절개술후3개월,원、중、근거리시력급조절폭도명현개선,기차이균유통계학의의.2충조절폭도검사방법측량치지간적차이무통계학의의(F=0.272,P＞0.05).결론 후발성백내장적발생사1CU가조절인공정상체식입술후술안조절공능명현하강,Nd∶YAG격광후낭막절개술후술안조절공능회복.
Objective To evaluate the effect of posterior capsular opacification and Nd∶YAG laser capsulotomy on the accommodative function of the 1CU accommodative intraocular lens (1CU AIOL).Methods This was a retrospective study.Twenty patients (24 eyes) with posterior capsular opacification after phacoemulsification and implantation of an 1CU AIOL were included in the study.Uncorrected distance visual acuity,best corrected distance visual acuity (5 m),distance corrected intermediate visual acuity (50 cm),distance corrected near visual acuity (33 cm),and amplitude of accommodation with subjective techniques of near point and defocusing were measured at 3 months after ICU AIOL surgery,1 day before Nd∶YAG laser capsulotomy and 3 months after Nd∶YAG laser capsulotomy.All data were statistically analyzed with repeated measure analysis of variance (ANOVA).Results Compared to 3 months after ICU AIOL surgery,uncorrected distance visual acuity (F=108.87,P＜0.01),best corrected distance visual acuity (5 m) (F=116.97,P＜0.01),distance corrected intermediate visual acuity (50 cm) (F=79.89,P＜0.01),distance corrected near visual acuity (33 cm) (F=118.84,P＜0.01),and amplitude of accommodation (F=81.78,P＜0.01)with subjective techniques of near point and defocusing had all decreased at 1 day before Nd∶YAG laser capsulotomy,and had increased by 3 months after Nd∶YAG laser capsulotomy.The differences were statistically significant.There was no statistically significant difference between the two methods for measuring amplitudes of accommodation (F=0.272,P＞0.05).Conclusion Conclusion The accommodative function of the 1CU AIOL had obviously decreased because of the presence of posterior capsular opacification and recovered after Nd∶YAG laser capsulotomy 3 months after surgery.
