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
2014年
2期
100-103
,共4页
栗静%刘磊%李新宇%王虎杰
慄靜%劉磊%李新宇%王虎傑
률정%류뢰%리신우%왕호걸
可植入的接触透镜%有晶状体眼%高度近视
可植入的接觸透鏡%有晶狀體眼%高度近視
가식입적접촉투경%유정상체안%고도근시
Lens,contact,implantable%Eye,phakic%Myopia,high
目的 观察有晶状体眼可植入胶原聚合透镜(ICL)植入术后早期的眼前段形态.方法 随机选取接受ICL植入术的高度近视37例(65只眼),测量患者术前、术后1个月和6个月的前房深度、前房角、前房容积、眼压和角膜内皮细胞密度,并对测量结果进行统计学分析.结果 术后前房深度、前房角和前房容积均较术前显著减小,术后1个月和术后6个月相比差异无统计学意义.术后1个月时眼压较术前稍有降低,术后6个月时恢复至术前水平;术后1个月和6个月患眼角膜内皮细胞密度较术前分别降低4.75％和6.87％;术后1个月和6个月ICL拱高分别为(412.61±192.94)m和(365.69±179.75)m,与晶状体无接触.结论 ICL植入术后早期眼前段形态发生显著改变,但随访期内各指标稳定,未引起前房角关闭或眼压升高.仍需对其进行更为长期的临床观察.
目的 觀察有晶狀體眼可植入膠原聚閤透鏡(ICL)植入術後早期的眼前段形態.方法 隨機選取接受ICL植入術的高度近視37例(65隻眼),測量患者術前、術後1箇月和6箇月的前房深度、前房角、前房容積、眼壓和角膜內皮細胞密度,併對測量結果進行統計學分析.結果 術後前房深度、前房角和前房容積均較術前顯著減小,術後1箇月和術後6箇月相比差異無統計學意義.術後1箇月時眼壓較術前稍有降低,術後6箇月時恢複至術前水平;術後1箇月和6箇月患眼角膜內皮細胞密度較術前分彆降低4.75％和6.87％;術後1箇月和6箇月ICL拱高分彆為(412.61±192.94)m和(365.69±179.75)m,與晶狀體無接觸.結論 ICL植入術後早期眼前段形態髮生顯著改變,但隨訪期內各指標穩定,未引起前房角關閉或眼壓升高.仍需對其進行更為長期的臨床觀察.
목적 관찰유정상체안가식입효원취합투경(ICL)식입술후조기적안전단형태.방법 수궤선취접수ICL식입술적고도근시37례(65지안),측량환자술전、술후1개월화6개월적전방심도、전방각、전방용적、안압화각막내피세포밀도,병대측량결과진행통계학분석.결과 술후전방심도、전방각화전방용적균교술전현저감소,술후1개월화술후6개월상비차이무통계학의의.술후1개월시안압교술전초유강저,술후6개월시회복지술전수평;술후1개월화6개월환안각막내피세포밀도교술전분별강저4.75％화6.87％;술후1개월화6개월ICL공고분별위(412.61±192.94)m화(365.69±179.75)m,여정상체무접촉.결론 ICL식입술후조기안전단형태발생현저개변,단수방기내각지표은정,미인기전방각관폐혹안압승고.잉수대기진행경위장기적림상관찰.
Objective To observe the anterior segment after implantation of implantable collamer lens (ICL) in early stage.Methods 65 eyes of 37 patients with high myopia who accepted ICL implantation were enrolled in this study.Anterior chamber volume (ACV),anterior chamber depth (ACD),iridocorneal angle,intraocular pressure (IOP) and endothelial cell density were measured at pre-operation,1 month and 6 months after surgery,and measurements were analyzed by statistical analysis.Results After surgeries,the ACD,iridocorneal angles and ACV decreased statistically significantly,and there were no statistical differences between measurements of 1 month and 6 months after surgery; the IOP measured at postoperative 1 month was lower than before and achieved stable state during postoperative 6 months; The endothelial cell density decreased about 4.75％ and 6.87％ respectively at postoperative 1 month and 6 months (P ＜ 0.05) ; The mean central vault were (412.61 ± 192.94) μm and (365.69 ± 179.75) μm respectively at postoperative 1 month and 6 months,the ICLs had no contact with lens.Conclusion In the early period after implantation of ICL,the anterior segment morphology changed significantly,but these indexes were stable and no closure of iridocorneal angle or increasing of IOP were observed in the follow-up 6 months,therefore,long time follow-up is still required.
