中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2014年
12期
722-725
,共4页
有晶状体眼人工晶状体植入术%近视,退行性%波前像差%视觉质量
有晶狀體眼人工晶狀體植入術%近視,退行性%波前像差%視覺質量
유정상체안인공정상체식입술%근시,퇴행성%파전상차%시각질량
Phakic intraocular lenses%Myopia,degenerative%Wavefront aberration%Visual quality
目的 观察有晶状体眼后房型人工晶状体(PPC-ICL)植入术矫正高度近视的有效性、安全性和视觉质量.方法 前瞻性研究.选择拟行PPC-ICL植入的患者28例(50眼),其中男10例(14眼),女18例(36眼),平均球镜度(-8.26±2.15)D,等效球镜度(SE)(-9.88±2.39)D,其中36眼接受了散光型PPC-ICL植入.术前与术后6个月分别进行视力、波前像差检测;术后6个月进行视觉质量问卷评分.采用配对t检验进行统计分析.结果 术前、术后1d、术后1周、术后6个月UCVA(标准对数视力表)分别为3.82±0.08、4.76±0.26、5.02±0.13、5.03±0.10.术后6个月UCVA较术前增加(t=72.88,P＜0.05).术后6个月UCVA与术前BCVA相比等于、提高1行、提高2行及以上分别为16眼、26眼、4眼,占全部眼数的92％.术后6个月残余度数在±0.50 D以内的眼数占96％.术前全眼总高阶像差、球差、彗差、三叶草均方根(RMS)值分别为(0.309±0.098)、(-0.008±0.111)、(0.197±0.103)、(0.142±0.076) μm;术后6个月分别为(0.320±0.152)、(-0.114±0.117)、(0.026±0.534)、(0.204±0.122) μm.术后全眼总高阶像差与球差较术前有增加但差异无统计学意义,全眼彗差较术前减少(t=-3.454,P＜0.05),全眼三叶草像差较术前增加(t=2.556,P＜0.05).在视觉质量问卷方面:全部28例(50眼)均对白天远视力和手术整体效果表示满意,其他视觉质量评分由高到低依次为(分数越高越满意):白天骑车/开车容易度、白天近视力、夜间视力、电脑、近距离阅读、夜间骑车/开车容易度、视物疲劳、光晕、眩光、眼干.结论 PPC-ICL植入术是矫正高度近视的一种安全有效的手术方法,患者术后UCVA明显提高,彗差减少,与术前比较有更好的视觉质量.
目的 觀察有晶狀體眼後房型人工晶狀體(PPC-ICL)植入術矯正高度近視的有效性、安全性和視覺質量.方法 前瞻性研究.選擇擬行PPC-ICL植入的患者28例(50眼),其中男10例(14眼),女18例(36眼),平均毬鏡度(-8.26±2.15)D,等效毬鏡度(SE)(-9.88±2.39)D,其中36眼接受瞭散光型PPC-ICL植入.術前與術後6箇月分彆進行視力、波前像差檢測;術後6箇月進行視覺質量問捲評分.採用配對t檢驗進行統計分析.結果 術前、術後1d、術後1週、術後6箇月UCVA(標準對數視力錶)分彆為3.82±0.08、4.76±0.26、5.02±0.13、5.03±0.10.術後6箇月UCVA較術前增加(t=72.88,P＜0.05).術後6箇月UCVA與術前BCVA相比等于、提高1行、提高2行及以上分彆為16眼、26眼、4眼,佔全部眼數的92％.術後6箇月殘餘度數在±0.50 D以內的眼數佔96％.術前全眼總高階像差、毬差、彗差、三葉草均方根(RMS)值分彆為(0.309±0.098)、(-0.008±0.111)、(0.197±0.103)、(0.142±0.076) μm;術後6箇月分彆為(0.320±0.152)、(-0.114±0.117)、(0.026±0.534)、(0.204±0.122) μm.術後全眼總高階像差與毬差較術前有增加但差異無統計學意義,全眼彗差較術前減少(t=-3.454,P＜0.05),全眼三葉草像差較術前增加(t=2.556,P＜0.05).在視覺質量問捲方麵:全部28例(50眼)均對白天遠視力和手術整體效果錶示滿意,其他視覺質量評分由高到低依次為(分數越高越滿意):白天騎車/開車容易度、白天近視力、夜間視力、電腦、近距離閱讀、夜間騎車/開車容易度、視物疲勞、光暈、眩光、眼榦.結論 PPC-ICL植入術是矯正高度近視的一種安全有效的手術方法,患者術後UCVA明顯提高,彗差減少,與術前比較有更好的視覺質量.
목적 관찰유정상체안후방형인공정상체(PPC-ICL)식입술교정고도근시적유효성、안전성화시각질량.방법 전첨성연구.선택의행PPC-ICL식입적환자28례(50안),기중남10례(14안),녀18례(36안),평균구경도(-8.26±2.15)D,등효구경도(SE)(-9.88±2.39)D,기중36안접수료산광형PPC-ICL식입.술전여술후6개월분별진행시력、파전상차검측;술후6개월진행시각질량문권평분.채용배대t검험진행통계분석.결과 술전、술후1d、술후1주、술후6개월UCVA(표준대수시력표)분별위3.82±0.08、4.76±0.26、5.02±0.13、5.03±0.10.술후6개월UCVA교술전증가(t=72.88,P＜0.05).술후6개월UCVA여술전BCVA상비등우、제고1행、제고2행급이상분별위16안、26안、4안,점전부안수적92％.술후6개월잔여도수재±0.50 D이내적안수점96％.술전전안총고계상차、구차、혜차、삼협초균방근(RMS)치분별위(0.309±0.098)、(-0.008±0.111)、(0.197±0.103)、(0.142±0.076) μm;술후6개월분별위(0.320±0.152)、(-0.114±0.117)、(0.026±0.534)、(0.204±0.122) μm.술후전안총고계상차여구차교술전유증가단차이무통계학의의,전안혜차교술전감소(t=-3.454,P＜0.05),전안삼협초상차교술전증가(t=2.556,P＜0.05).재시각질량문권방면:전부28례(50안)균대백천원시력화수술정체효과표시만의,기타시각질량평분유고도저의차위(분수월고월만의):백천기차/개차용역도、백천근시력、야간시력、전뇌、근거리열독、야간기차/개차용역도、시물피로、광훈、현광、안간.결론 PPC-ICL식입술시교정고도근시적일충안전유효적수술방법,환자술후UCVA명현제고,혜차감소,여술전비교유경호적시각질량.
Objective To observe the efficacy,safety and visual quality of phakic posterior chamber intraocular lens implantable collamer lens (PPC-ICL) for correcting high myopia.Methods In a prospective study of 50 eyes of 28 patients (14 eyes of 10 males and 36 eyes of 18 females) with an average spherical refractive error of-8.26±2.15 D and a spherical equivalent (SE) of-9.88± 2.39 D.Thirty-six eyes were implanted with toric ICLs.The following indicators were compared:preoperative and postoperative uncorrected visual acuity (UCVA),best corrected visual acuity (BCVA),validity and safety analysis of the ICL surgeries,preoperative and 6 month postoperative wavefront aberrations,analysis of relevant indicators,and visual quality questionnaire scores six months after surgery.All patients were followed up for more than 6 months.Data were analyzed using a matched t test.Results Preoperative UCVA (logarithm visual table,5 vision) and 1 day,1 week and 6 months after surgery were 3.82±0.08,4.76±0.26,5.02±0.13 and 5.03±0.10.Visual acuity 6 months after surgery improved compared to preoperative acuity (t=72.88,P＜0.05).Compared to preoperative BCVA,UCVA 6 months after surgery equal to,increased 1 row,2 rows and above for 16,26,4 patients,respectively,which accounted for 92％ of the total number of eyes.The amount of residual diopters after 6 months of PPC-ICL implant was less than ±0.50 D,accounting for 96％.Preoperative higher-order wavefront aberrations,spherical aberrations,coma,and trefoil were 0.309±0.098 μm,-0.008±0.111 μm,0.197±0.103 μm,and 0.142±0.076 μm; and after surgery were 0.320±0.152 μ m,-0.114±0.117 μm,0.026±0.534 μm,and 0.204±0.122 μm.Total higher-order aberrations and spherical aberrations increased,but the difference was not statistically significant.Coma was reduced (t=-3.454,P＜0.05),and trefoil increased (t=2.556,P＜0.05).The results of the visual quality questionnaire showed that all 28 patients (50 eyes) were satisfied with the surgery; other scores in descending order (the higher the score,the greater the satisfaction) were dav cycling/driving ease,near vision,night vision,computer,close reading,night cycling/driving ease,visual fatigue,halos,glare,dry eye.Conclusion ICL implants are a safe and effective surgical method for correcting high myopia,and all patients were satisfied with the surgery.The UCVA after surgery was obviously higher than the BCVA before surgery.Moreover,the procedure can also decrease coma,which can result in better visual quality.
