CAJ | 학술논문

目的分析研究白内障人工晶状体植入术后视力良好裸眼视力0.8 ～1.5者的屈光状态及其特点.方法对年龄相关性白内障常规人工晶状体植入手术后视力良好者追踪观察,定期复查角膜曲率,以自动验光仪检查屈光状态,以插片法检查最佳矫正视力.术后24周进行远距离、中距离及近距离矫正视力检查.结果有规范而详细记录的裸眼视力≥0.8的515例(515眼)中:正视175眼(33.98％),近视及近视性散光153眼(29.71％),远视及远视性散光92眼(17.86％),混合性散光95眼(18.45％).结论白内障植入常规人工晶状体后,具有良好视力(裸眼视力0.8～1.5)的眼中,约2/3(66.02％)有散光或近视、远视,而且没有调节功能不具备全程视力.关注白内障摘出人工晶状体植入术后的屈光不正,及时调整、完善屈光状态是眼科医师应该关注的问题.
목적 분석연구백내장인공정상체식입술후시력량호라안시력0.8 ～1.5자적굴광상태급기특점.방법 대년령상관성백내장상규인공정상체식입수술후시력량호자추종관찰,정기복사각막곡솔,이자동험광의검사굴광상태,이삽편법검사최가교정시력.술후24주진행원거리、중거리급근거리교정시력검사.결과 유규범이상세기록적라안시력≥0.8적515례(515안)중:정시175안(33.98％),근시급근시성산광153안(29.71％),원시급원시성산광92안(17.86％),혼합성산광95안(18.45％).결론 백내장식입상규인공정상체후,구유량호시력(라안시력0.8～1.5)적안중,약2/3(66.02％)유산광혹근시、원시,이차몰유조절공능불구비전정시력.관주백내장적출인공정상체식입술후적굴광불정,급시조정、완선굴광상태시안과의사응해관주적문제.
Objective To analyze the refraction status and characteristics in eyes with good visual acuity(0.8 ～ 1.5) after cataract extraction and intraocular lens implantation.Methods Followed up the patients with good visual acuity after.age-related cataract surgery and implantation of intraocular lens (IOL).The corneal curvature,refraction and best corrected visual acuity were checked in certain time.In the 24 weeks after surgery,corrected visual acuity of the patients in different distance.Results In 515 cases(515 eyes) with good vision(≥0.8),emmetropia was in 175 eyes(33.98％),myopia and myopic astigmatism in 153 eyes (29.71％),hyperopia and hyperopic astigmatism in 92 eyes (17.86％),mixed astigmatism in 95 eyes (18.45 ％).Conclusion Nearly 2/3 in the eyes with good visual acuity (0.8 ～ 1.5) after catract surgery with IOL implantation get astigmatism or myopia,hyperopia,and maintain no accommodationt.The ophthalmologist should be of concern the ametropia and improve the refraction in time after cataract surgery with IOL implantation.