中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
5期
330-334
,共5页
张晗%赵军%刘景%刘援%宋玮%田庆芬%王琪
張晗%趙軍%劉景%劉援%宋瑋%田慶芬%王琪
장함%조군%류경%류원%송위%전경분%왕기
虹膜缝线固定%巩膜缝线固定%晶状体,人工,折叠%视力%屈光%并发症
虹膜縫線固定%鞏膜縫線固定%晶狀體,人工,摺疊%視力%屈光%併髮癥
홍막봉선고정%공막봉선고정%정상체,인공,절첩%시력%굴광%병발증
Suture,iris-fixated%Suture,scleral-fixated%Lens,artificial,foldable%Visual acuity%Refraction%Complications
目的 评价虹膜缝线固定折叠人工晶状体的临床效果.方法 随机数字法将无晶状体眼62例(63眼)分成A、B两组.A组行虹膜缝线固定植入折叠人工晶状体,B组行巩膜缝线固定折叠人工晶状体,术后3个月比较两组视力和屈光状态.术后4周内,每周观察前房闪光.结果 术后3个月,A组裸眼视力为(0.43±0.19)优于B组的(0.35±0.18),P ＜0.05,差异有统计学意义；最佳矫正视力(BCVA)两组差异无统计学意义；术后裸眼视力:A组有38.7％(12/31)高于术前最佳矫正视力(BCVA),B组有12.5％ (4/32)高于术前最佳矫正视力BCVA；A组有29％ (9/31)较术前最佳矫正视力降低,B组有56.3％(18/32)较术前最佳矫正视力降低.显然验光球镜,A组成近视化趋势(-0.47±0.58)D,B组成远视化趋势(0.50±0.43)D；显然验光柱镜,A组(0.84 ±0.53)D小于B组(1.23 ±0.70)D,差异有统计学意义；角膜散光,两组差异无统计学意义；A组与B组相比,有较少并发症发生.结论 短期观察,虹膜缝线固定折叠人工晶状体视力效果、屈光效果优于巩膜固定折叠人工晶状体.
目的 評價虹膜縫線固定摺疊人工晶狀體的臨床效果.方法 隨機數字法將無晶狀體眼62例(63眼)分成A、B兩組.A組行虹膜縫線固定植入摺疊人工晶狀體,B組行鞏膜縫線固定摺疊人工晶狀體,術後3箇月比較兩組視力和屈光狀態.術後4週內,每週觀察前房閃光.結果 術後3箇月,A組裸眼視力為(0.43±0.19)優于B組的(0.35±0.18),P ＜0.05,差異有統計學意義；最佳矯正視力(BCVA)兩組差異無統計學意義；術後裸眼視力:A組有38.7％(12/31)高于術前最佳矯正視力(BCVA),B組有12.5％ (4/32)高于術前最佳矯正視力BCVA；A組有29％ (9/31)較術前最佳矯正視力降低,B組有56.3％(18/32)較術前最佳矯正視力降低.顯然驗光毬鏡,A組成近視化趨勢(-0.47±0.58)D,B組成遠視化趨勢(0.50±0.43)D；顯然驗光柱鏡,A組(0.84 ±0.53)D小于B組(1.23 ±0.70)D,差異有統計學意義；角膜散光,兩組差異無統計學意義；A組與B組相比,有較少併髮癥髮生.結論 短期觀察,虹膜縫線固定摺疊人工晶狀體視力效果、屈光效果優于鞏膜固定摺疊人工晶狀體.
목적 평개홍막봉선고정절첩인공정상체적림상효과.방법 수궤수자법장무정상체안62례(63안)분성A、B량조.A조행홍막봉선고정식입절첩인공정상체,B조행공막봉선고정절첩인공정상체,술후3개월비교량조시력화굴광상태.술후4주내,매주관찰전방섬광.결과 술후3개월,A조라안시력위(0.43±0.19)우우B조적(0.35±0.18),P ＜0.05,차이유통계학의의；최가교정시력(BCVA)량조차이무통계학의의；술후라안시력:A조유38.7％(12/31)고우술전최가교정시력(BCVA),B조유12.5％ (4/32)고우술전최가교정시력BCVA；A조유29％ (9/31)교술전최가교정시력강저,B조유56.3％(18/32)교술전최가교정시력강저.현연험광구경,A조성근시화추세(-0.47±0.58)D,B조성원시화추세(0.50±0.43)D；현연험광주경,A조(0.84 ±0.53)D소우B조(1.23 ±0.70)D,차이유통계학의의；각막산광,량조차이무통계학의의；A조여B조상비,유교소병발증발생.결론 단기관찰,홍막봉선고정절첩인공정상체시력효과、굴광효과우우공막고정절첩인공정상체.
Objective To evaluate the clinical effects of iris-fixated foldable lens.Methods 62 patients (63 eyes) who had insufficient posterior capsular support for intraocular lens had been divided into two groups randomly,group A underwent iris-fixated foldable lens implant,group B underwent scleral-fixated foldable lens implant,3 months after operation,visual acuity and refractive status were compared; the first 4 weeks postoperatively,dyndall effect was observed every week.Results 3 months after operation,the UCVA was better in group A (0.43 ± 0.19)than in group B (0.35 ±0.18),but the BCVA had no difference between the two groups; The postoperative UCVA:12 of 31 eyes (38.7％)in group A were better than preoperative BCVA,and the percentage in group B was 12.5％ (4/32),however,9 of 31 eyes (29％) in group A and 18 of 32 eyes (56.3％) in group B were worse than preoperative BCVA; postoperatively,the sphere in group A was minus (-0.47D ±0.58D),and that in group B was plus (0.50D ±0.43D),the cylinder in group A (0.84D ±0.53D) was smaller than in group B (1.23D ±0.70D),the difference was statistical significant,but the corneal astigmatism had no difference between the two groups; there were less complications in group A than in group B.Conclusion In short term,compared with group B,the visual results and refractive effects in group A were better.
