中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
3期
360-363
,共4页
角膜散光%白内障%非球面Toric IOL
角膜散光%白內障%非毬麵Toric IOL
각막산광%백내장%비구면Toric IOL
Corneal astigmatism%Cataract%Aspherical toric IOL
目的 评估中高度角膜散光合并白内障植入非球面Toric IOL的临床疗效.方法 回顾分析对2012年10月至2013年3月在北京世纪坛医院眼科就诊的20例22只眼白内障合并中高度角膜散光的患者行白内障超声乳化联合非球面Toric IOL植入术后的裸眼视力、最佳矫正视力、角膜散光情况及Toric IOL在囊袋内的稳定性.结果 术后3个月裸眼视力明显好于术前矫正视力,差异有统计学意义(P＜0.05),其中裸眼视力≥0.5的占77％.术前预计残余散光是(0.40±0.25)D、术后残余散光是(0.52±0.28)D,两者比较差异无统计学意义(P＞0.05).术后3个月IOL旋转度数(3.69±1.35)°,最大旋转度数5°.结论 中高度角膜散光合并白内障植入非球面Toric IOL是一种安全、有效并可预测治疗方法.
目的 評估中高度角膜散光閤併白內障植入非毬麵Toric IOL的臨床療效.方法 迴顧分析對2012年10月至2013年3月在北京世紀罈醫院眼科就診的20例22隻眼白內障閤併中高度角膜散光的患者行白內障超聲乳化聯閤非毬麵Toric IOL植入術後的裸眼視力、最佳矯正視力、角膜散光情況及Toric IOL在囊袋內的穩定性.結果 術後3箇月裸眼視力明顯好于術前矯正視力,差異有統計學意義(P＜0.05),其中裸眼視力≥0.5的佔77％.術前預計殘餘散光是(0.40±0.25)D、術後殘餘散光是(0.52±0.28)D,兩者比較差異無統計學意義(P＞0.05).術後3箇月IOL鏇轉度數(3.69±1.35)°,最大鏇轉度數5°.結論 中高度角膜散光閤併白內障植入非毬麵Toric IOL是一種安全、有效併可預測治療方法.
목적 평고중고도각막산광합병백내장식입비구면Toric IOL적림상료효.방법 회고분석대2012년10월지2013년3월재북경세기단의원안과취진적20례22지안백내장합병중고도각막산광적환자행백내장초성유화연합비구면Toric IOL식입술후적라안시력、최가교정시력、각막산광정황급Toric IOL재낭대내적은정성.결과 술후3개월라안시력명현호우술전교정시력,차이유통계학의의(P＜0.05),기중라안시력≥0.5적점77％.술전예계잔여산광시(0.40±0.25)D、술후잔여산광시(0.52±0.28)D,량자비교차이무통계학의의(P＞0.05).술후3개월IOL선전도수(3.69±1.35)°,최대선전도수5°.결론 중고도각막산광합병백내장식입비구면Toric IOL시일충안전、유효병가예측치료방법.
Objective To evaluate the clinical efficacy of AcrySof SN60AT Toric IOL in correcting pre-operative comeal high astigmatism in cataract patients.Methods This was a retrospective observational study.This study enrolled 20 cases (22 eyes) with cataract combined high astigmatism underwent implantation of AcrySof SN60AT Toric IOL in cataract surgery.The preoperative and postoperative 3 months uncorrected distance visual acuity (UCVA) and best-corrected distance visual acuity (BCVA),postoperative residual astigmatism,and IOL rotational stability after postoperative 1 week,1 month and 3 months were evaluated.Results The postoperative 3 months UCVA was better than BCVA.77％ of eyes showed the 0.5.The postoperative residual astigmatism was 0.52± 0.28D and the preoperative residual astigmatism was 0.40±0.25D,there was no statistically difference between them.The mean IOL rotation was (3.69±1.35)o at 3 months follow-up.Conclusions Implantation of high power toric IOL in cataract surgery is a safe,effective and predictable method for correcting corneal high astigmatism.
