CAJ | 학술논문

目的探讨超声乳化人工晶状体植入术应用“单眼视”(monovision)法治疗高度近视伴白内障的临床疗效.方法 2011年5月至2014年1月36例(72眼)高度近视伴白内障行超声乳化人工晶状体植入术.根据患者对视觉的不同要求分为两组:单眼视组18例(36眼),主导眼矫正至术后看远,非主导眼矫正至术后看近;对照组18例(36眼),双眼均矫正至术后看远.观察术后双眼屈光状态、裸眼远近视力、立体视及眼底情况并调查戴镜情况,对数据进行统计学分析.结果两组术后屈光度与术前预留屈光度在预计的范围内,两组术后3个月双眼同时视裸眼远视力0.5 ～0.8,均不戴镜,单眼视组双眼同时视裸眼近视力优于对照组,差异有统计学意义(P＜0.05),术后近距离用眼时单眼视组基本不戴镜,对照组大部分戴镜,差异有统计学意义(P＜0.05).结论超声乳化人工晶状体植入术应用“单视眼法”手术治疗高度近视伴白内障是一种有效的方法,且具有术后看远看近完全脱镜的优点.
목적 탐토초성유화인공정상체식입술응용“단안시”(monovision)법치료고도근시반백내장적림상료효.방법 2011년5월지2014년1월36례(72안)고도근시반백내장행초성유화인공정상체식입술.근거환자대시각적불동요구분위량조:단안시조18례(36안),주도안교정지술후간원,비주도안교정지술후간근;대조조18례(36안),쌍안균교정지술후간원.관찰술후쌍안굴광상태、라안원근시력、입체시급안저정황병조사대경정황,대수거진행통계학분석.결과 량조술후굴광도여술전예류굴광도재예계적범위내,량조술후3개월쌍안동시시라안원시력0.5 ～0.8,균불대경,단안시조쌍안동시시라안근시력우우대조조,차이유통계학의의(P＜0.05),술후근거리용안시단안시조기본불대경,대조조대부분대경,차이유통계학의의(P＜0.05).결론 초성유화인공정상체식입술응용“단시안법”수술치료고도근시반백내장시일충유효적방법,차구유술후간원간근완전탈경적우점.
Objective To observe the efficacy of monovision for correcting cataract with high myopia by phacoemulsification with intraocular lens implantation.Methods Phacoemulsification with intraocular lens implantation was applied on 36 patients (72 eyes) who suffered from cataract with high myopia from May 2011 to January 2014 in our department.According to monovision request,we divide the patients into two groups,monovision group (Group M) and reference group (Group R),18 patients (36 eyes) in each group.For Group M,we correct the dominant eyes for far vision while the non-dominant eyes for near vision after surgery.For Group R,we correct both eyes for far vision.The refractive status,far and near vision of uncorrected eyes,stereoscopic vision,fundus and the situation of wearing glasses were observed.The data were analyzed statistically.Results In both groups,the postoperative refractive value was within planed range.The far vision of uncorrected eye was 0.5-0.8 three months after the surgery.The uncorrected near vision in Group M was better that that of Group R,with statistical difference (P ＜ 0.05).Patients in Group M can basically get rid of glasses for near vision after surgery,while patients in Group R still have to wear glasses,with statistical difference (P ＜ 0.05).Conclusion Monovison after phacoemulsification with intraocular lens implantation is an efficient,and safe treatment for cataract with high myopia.It take the advantage to get rid of glasses after surgery.