CAJ | 학술논문

目的回顾性分析高度近视合并白内障患者超声乳化白内障吸除联合IOL植入术后的视力预后及其影响因素,为高度近视合并白内障预估术后视力提供依据.方法回顾性系列病例研究.选择46例(77眼)高度近视(球镜度≥-6.00 D并且眼轴长度≥26 mm)合并白内障的患者,详细检查超声乳化白内障吸除联合IOL植入术前、术后的BCVA、白内障严重程度(LOCS分级)、眼轴长度、眼底照相模糊程度及眼底病变程度,并进行Pearson相关和多元逐步回归分析.结果以术后6个月BCVA为准,相关分析结果显示,术后6个月BCVA与术前BCVA、术前球镜度、眼轴长度、术前眼底像模糊程度、白内障严重程度、眼底病变严重程度相关.多元逐步回归分析结果显示,术后视力与术前BCVA(P＜0.01)和眼底病变严重程度相关(P＜0.01).结论对于高度近视合并白内障患者,超声乳化白内障吸除联合IOL植入术后的视力恢复情况与术前BCVA和眼底病变程度相关.
목적 회고성분석고도근시합병백내장환자초성유화백내장흡제연합IOL식입술후적시력예후급기영향인소,위고도근시합병백내장예고술후시력제공의거.방법 회고성계렬병례연구.선택46례(77안)고도근시(구경도≥-6.00 D병차안축장도≥26 mm)합병백내장적환자,상세검사초성유화백내장흡제연합IOL식입술전、술후적BCVA、백내장엄중정도(LOCS분급)、안축장도、안저조상모호정도급안저병변정도,병진행Pearson상관화다원축보회귀분석.결과 이술후6개월BCVA위준,상관분석결과현시,술후6개월BCVA여술전BCVA、술전구경도、안축장도、술전안저상모호정도、백내장엄중정도、안저병변엄중정도상관.다원축보회귀분석결과현시,술후시력여술전BCVA(P＜0.01)화안저병변엄중정도상관(P＜0.01).결론 대우고도근시합병백내장환자,초성유화백내장흡제연합IOL식입술후적시력회복정황여술전BCVA화안저병변정도상관.
Objective To analyze visual outcomes and factors related to the visual outcomes in cataract patients with high myopia.Methods Forty-six patients were included in this retrospective study (myopia ≥-6.00 D and axial length ≥26 mm,with opacity of the lens).Best corrected visual acuity (BCVA),severity of the cataract,direct fundus analysis and analysis of fundus photos were investigated before and after phacoemulsification and implantation of an intraocular lens (IOL).Correlation and stepwise regression analysis were used to identify the predictive factors.Results In correlation analysis,the BCVA and myopia were assessed before phacoemulsification; cataract severity,axial length,clarity photos of fundus and fundus disease were correlated with BCVA after phacoemulsification.In stepwise regression analysis,the BCVA after phacoemulsification correlated with BCVA before surgery (P＜0.01) and fundus diseases (P＜0.01).Conclusion The BCVA before surgery and the fundus diseases were important factors influencing visual outcome and were important parameters for predicating visual outcomes in cataract patients with high myopia.