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
12期
743-746
,共4页
有晶状体眼人工晶状体植入术%矫正%近视,退行性
有晶狀體眼人工晶狀體植入術%矯正%近視,退行性
유정상체안인공정상체식입술%교정%근시,퇴행성
Phakic intraocular lenses%Correct%Myopia,degenerative
目的 观察有晶状体眼后房型人工晶状体(PC-PRL)植入矫正高度近视的临床疗效.方法 回顾性系列病例研究.选择2011年1月至2012年5月间行PC-PRL矫正高度近视患者25例(45眼).术后随访6～17月,平均(10.9±1.6)个月,应用配对t检验分析手术前后裸眼视力、眼压、角膜内皮细胞计数及前房深度,分析并发症的发生情况.结果 术后裸眼视力4.5～5.2,好于术前最佳矫正视力者35眼(78％).术后平均眼压(13.7±4.2)mmHg,与术前(13.9±4.1)mmHg比较,差异无统计学意义.术后平均角膜内皮细胞计数(2609±296)cells/mm2,与术前(2818±327) cells/mm2比较,差异无统计学意义.术后的平均拱高稳定,为(0.380±0.135)mm,未见人工晶状体与自身晶状体贴近或接触.结论 PC-PRL植入矫正高度近视临床疗效确切,具有良好的安全性,是高度近视患者的理想治疗方法.
目的 觀察有晶狀體眼後房型人工晶狀體(PC-PRL)植入矯正高度近視的臨床療效.方法 迴顧性繫列病例研究.選擇2011年1月至2012年5月間行PC-PRL矯正高度近視患者25例(45眼).術後隨訪6～17月,平均(10.9±1.6)箇月,應用配對t檢驗分析手術前後裸眼視力、眼壓、角膜內皮細胞計數及前房深度,分析併髮癥的髮生情況.結果 術後裸眼視力4.5～5.2,好于術前最佳矯正視力者35眼(78％).術後平均眼壓(13.7±4.2)mmHg,與術前(13.9±4.1)mmHg比較,差異無統計學意義.術後平均角膜內皮細胞計數(2609±296)cells/mm2,與術前(2818±327) cells/mm2比較,差異無統計學意義.術後的平均拱高穩定,為(0.380±0.135)mm,未見人工晶狀體與自身晶狀體貼近或接觸.結論 PC-PRL植入矯正高度近視臨床療效確切,具有良好的安全性,是高度近視患者的理想治療方法.
목적 관찰유정상체안후방형인공정상체(PC-PRL)식입교정고도근시적림상료효.방법 회고성계렬병례연구.선택2011년1월지2012년5월간행PC-PRL교정고도근시환자25례(45안).술후수방6～17월,평균(10.9±1.6)개월,응용배대t검험분석수술전후라안시력、안압、각막내피세포계수급전방심도,분석병발증적발생정황.결과 술후라안시력4.5～5.2,호우술전최가교정시력자35안(78％).술후평균안압(13.7±4.2)mmHg,여술전(13.9±4.1)mmHg비교,차이무통계학의의.술후평균각막내피세포계수(2609±296)cells/mm2,여술전(2818±327) cells/mm2비교,차이무통계학의의.술후적평균공고은정,위(0.380±0.135)mm,미견인공정상체여자신정상체첩근혹접촉.결론 PC-PRL식입교정고도근시림상료효학절,구유량호적안전성,시고도근시환자적이상치료방법.
Objective To observe the clinical effect of PC-PRL (phakic refractive lens) implants to correct high myopia.Methods This was a retrospective case series study.Twenty-five patients (45 eyes) with high myopia were implanted with PC-PRLs from January 2011 to May 2012.The postoperative follow-up period was 6 to 17 months (average 10.9±1.6 months).A paired-sample t test was used to analyze uncorrected visual acuity,intraocular pressure,endothelial cell density,anterior chamber depth,and the occurrence of complications was recorded.Results Uncorrected visual acuity (UCVA) 4.5～5.2 was better than preoperative best corrected visual acuity (BCAV) for 35 eyes (78％).The mean postoperative IOP was 13.7±4.2 mmHg,which was not a statistically significant difference from the mean preoperative IOP (13.9±4.1 mmHg).The mean postoperative endothelial cell density was (2609±296)cells/mm2,which was not a statistically significant difference from the mean preoperative endothelial cell density(2818±327)cells/mm2.The stability of PC-PRLs was high,average high arch was (0.380±0.135)mm,and there were no artificial crystals close to crystal position.Conclusion PC-PRL implantation to correct high myopia is effective and safe and is the ideal treatment for patients with high myopia.
