CAJ | 학술논문

目的：：探讨双眼高度近视并发白内障患者白内障术后屈光状态对视力的影响。方法：选择我院行双眼白内障超声乳化摘除联合人工晶状体植入术的双眼高度近视合并白内障患者60例120眼,按术后屈光度分为-1.0~-2.0D( A组)、-2.25~-3.0D (B组)、-3.25~-4.0D(C 组)三组,观察患者术后3mo的裸眼远视力、最佳矫正远视力、裸眼近视力及日常视觉活动量表调查,以评估术后患者视力状况。结果：术后3mo,三组裸眼远视力差异有统计学意义,A组优于B组,B组优于C组；最佳矫正远视力三组间无差别；三组裸眼近视力比较有统计学差异,最好为C组,次之为B组,最差为A组。三组患者对手术效果满意度无组间差异,而三组术后戴镜情况组间差异有统计学意义。结论：双眼高度近视合并白内障患者施行白内障手术,应结合患者的不同需求预留术后屈光度。对于术前无戴镜习惯,且无近距离工作要求者,可预留较少的近视度数；而能接受术后配戴中低度数的远视力矫正镜,且有近距离工作要求者,可预留较高的近视度数。
목적：：탐토쌍안고도근시병발백내장환자백내장술후굴광상태대시력적영향。방법：선택아원행쌍안백내장초성유화적제연합인공정상체식입술적쌍안고도근시합병백내장환자60례120안,안술후굴광도분위-1.0~-2.0D( A조)、-2.25~-3.0D (B조)、-3.25~-4.0D(C 조)삼조,관찰환자술후3mo적라안원시력、최가교정원시력、라안근시력급일상시각활동량표조사,이평고술후환자시력상황。결과：술후3mo,삼조라안원시력차이유통계학의의,A조우우B조,B조우우C조；최가교정원시력삼조간무차별；삼조라안근시력비교유통계학차이,최호위C조,차지위B조,최차위A조。삼조환자대수술효과만의도무조간차이,이삼조술후대경정황조간차이유통계학의의。결론：쌍안고도근시합병백내장환자시행백내장수술,응결합환자적불동수구예류술후굴광도。대우술전무대경습관,차무근거리공작요구자,가예류교소적근시도수；이능접수술후배대중저도수적원시력교정경,차유근거리공작요구자,가예류교고적근시도수。
To observe the diopter after cataract surgery for vision gain in high myopia and its effect on visual outcomes.METHODS: Sixty ( 120 eyes ) high myopia combined with cataract cases received phacoemulsification and intraocular lens implantation in our hospital were retrospective studied. The patients were divided into three groups based on postoperative diopter: -1. 0 ~ -2. 0D (group A), -2. 25~-3. 0D (group B) and -3. 25 ~-4. 0D ( group C ) . The uncorrected distance visual acuity ( UCDVA) , best corrected distant visual acuity ( BCDVA) , uncorrected near visual acuity ( UCNVA ) and questionnaire of Activities of Daily Vision Scale ( ADVS ) were collected to assess the vision gain at 3mo after cataract surgery.RESULTS: At 3mo after surgery, UCDVA of group A was better than that of group B, and UCDVA of group B was better than that of group C. There were no differences in BCDVA among groups. There were significant differences between the three groups' UCNVA, it was best for the group C, followed by the group B, group A was the worst. For questionnaire, no difference was observed in patients' satisfactory for surgical results, but a significant difference was detected in postoperative glasses wearing frequency between groups.CONCLUSlON: For cataract surgery in high myopia combined cataract, postoperative diopter should be calculated based on patients' daily requirements. For patients had not used to wearing glasses and near distant working condition, it's appropriated to reserve a minor degree of myopia. Conversely, for patients require near distant working and received wearing moderate and low hyperopia mirror, higher degree of myopia can be reserved.