CAJ | 학술논문

目的评估有晶状体眼后房型人工晶状体(implantable contact lens,ICL)植入术矫正高度近视后视力、对比敏感度和主观视觉质量情况.方法对2011年6月至2012年6月在成都军区总医院眼科就诊的20例(40只眼)高度近视患者行ICL植入术.术前及术后分别检查裸眼视力(UCVA)、最佳矫正视力(BCVA)、屈光度、无眩光对比敏感度和眩光对比敏感度,并进行满意度问卷调查.结果术后1个月和6个月UCVA和BCVA均明显高于术前差异有统计学意义(P＜0.05).术后1个月屈光度(-0.54±0.60)D与术后6个月(-0.56±0.22)D差异无统计学意义(P＞0.05).无眩光对比敏感度和眩光对比敏感度在术后1个月和6个月时6.0、12.0和18.0 cpd各频率段对比敏感度值与术前相比均显著提高,差异有统计学意义(P＜0.05),术后6个月和术后1个月相比各频率段差异均无统计学意义(P＞0.05);无眩光对比敏感度值和眩光对比敏感度值,在术前、术后1个月和术后6个月各时间段,两者间各频率段差异均无统计学意义(P＞0.05);满意度问卷调查,其满意度达100％.结论 ICL植入手术,术后患者视觉质量全面提高,是在高度近视患者中值得广泛推广的手术方式.
목적 평고유정상체안후방형인공정상체(implantable contact lens,ICL)식입술교정고도근시후시력、대비민감도화주관시각질량정황.방법 대2011년6월지2012년6월재성도군구총의원안과취진적20례(40지안)고도근시환자행ICL식입술.술전급술후분별검사라안시력(UCVA)、최가교정시력(BCVA)、굴광도、무현광대비민감도화현광대비민감도,병진행만의도문권조사.결과 술후1개월화6개월UCVA화BCVA균명현고우술전차이유통계학의의(P＜0.05).술후1개월굴광도(-0.54±0.60)D여술후6개월(-0.56±0.22)D차이무통계학의의(P＞0.05).무현광대비민감도화현광대비민감도재술후1개월화6개월시6.0、12.0화18.0 cpd각빈솔단대비민감도치여술전상비균현저제고,차이유통계학의의(P＜0.05),술후6개월화술후1개월상비각빈솔단차이균무통계학의의(P＞0.05);무현광대비민감도치화현광대비민감도치,재술전、술후1개월화술후6개월각시간단,량자간각빈솔단차이균무통계학의의(P＞0.05);만의도문권조사,기만의도체100％.결론 ICL식입수술,술후환자시각질량전면제고,시재고도근시환자중치득엄범추엄적수술방식.
Objective To assess the clinical outcomes about the visual quality of implantable contact lens implantation for high myopia.Methods Forty eyes with high myopia of 20 patients that underwent ICL (STAAR Surgical,Switzerland) implantation were examined.Refraction,visual acuity,contrast sensitivity (CS) with and without glare were evaluated at 1 month and 6 months postoperatively.Results Significant improvement in uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA) were found at 1 month and 6 months postoperatively (P ＜0.05).The refraction at 1 month (-0.56±0.59D) and 6 months (-0.56±0.22D) postoperatively were no significant difference (P ＞ 0.05).The CS with and without glare were all significantly better than pre-operation for 6,12 and 18 cycles/degree (P ＜0.05),but there were no significant difference between 1 month and 6 montha.No significant difference between the CS with and without glare for 3,6,12 and 18 cycles/degree were found preoperatively,1 month and 6 months postoperatively (P ＞0.05).The satisfaction of all the patients was 100％.Conclusions The ICL perform well in correcting high myopia during a 6 months observation period,suggesting its viability as a surgical option for the treatment of such eyes.