蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
4期
476-478
,共3页
白内障%人工晶状体%调节%眼
白內障%人工晶狀體%調節%眼
백내장%인공정상체%조절%안
cataract%intraocular lens%accommodation%eye
目的：：探讨超声乳化白内障吸除多焦点人工晶状体植入术的临床疗效和调节幅度。方法：对47例(47只眼)白内障患者行超声乳化白内障吸除多焦点人工晶状体植入术,观察并记录术眼的裸眼远视力、裸眼近视力、最佳矫正远视力、最佳矫正近视力及表观调节幅度(分别采用负镜片和主观移近法进行测量)。术后随访1~12个月,对术后1周、1个月及3个月的资料进行分析。结果：术后1周、1个月及3个月裸眼近视力≥J5者,分别为38例、40例和38例,远视力矫正后近视力≥J5者,分别为37例、37例和36例。主观移近法测量术后1周、1个月、3个月的调节幅度分别为(2.02±0.59) D、(1.91±0.53) D、(1.82±0.54)D。负镜片法测量的拟调节幅度分别为(1.92±0.61)D、(1.85±0.54)D、(1.79±0.49)D,差异均无统计学意义(P>0.05)。远视力矫正后近视力和调节幅度之间呈正相关关系(P=0.00)。焦点深度范围曲线在0.0D和-3.0D左右各有一波峰,焦点深度范围为(+1.5~4.0)D。结论：多焦点人工晶状体可提供良好的远、近视力,远期效果有待进一步观察。
目的：：探討超聲乳化白內障吸除多焦點人工晶狀體植入術的臨床療效和調節幅度。方法：對47例(47隻眼)白內障患者行超聲乳化白內障吸除多焦點人工晶狀體植入術,觀察併記錄術眼的裸眼遠視力、裸眼近視力、最佳矯正遠視力、最佳矯正近視力及錶觀調節幅度(分彆採用負鏡片和主觀移近法進行測量)。術後隨訪1~12箇月,對術後1週、1箇月及3箇月的資料進行分析。結果：術後1週、1箇月及3箇月裸眼近視力≥J5者,分彆為38例、40例和38例,遠視力矯正後近視力≥J5者,分彆為37例、37例和36例。主觀移近法測量術後1週、1箇月、3箇月的調節幅度分彆為(2.02±0.59) D、(1.91±0.53) D、(1.82±0.54)D。負鏡片法測量的擬調節幅度分彆為(1.92±0.61)D、(1.85±0.54)D、(1.79±0.49)D,差異均無統計學意義(P>0.05)。遠視力矯正後近視力和調節幅度之間呈正相關關繫(P=0.00)。焦點深度範圍麯線在0.0D和-3.0D左右各有一波峰,焦點深度範圍為(+1.5~4.0)D。結論：多焦點人工晶狀體可提供良好的遠、近視力,遠期效果有待進一步觀察。
목적：：탐토초성유화백내장흡제다초점인공정상체식입술적림상료효화조절폭도。방법：대47례(47지안)백내장환자행초성유화백내장흡제다초점인공정상체식입술,관찰병기록술안적라안원시력、라안근시력、최가교정원시력、최가교정근시력급표관조절폭도(분별채용부경편화주관이근법진행측량)。술후수방1~12개월,대술후1주、1개월급3개월적자료진행분석。결과：술후1주、1개월급3개월라안근시력≥J5자,분별위38례、40례화38례,원시력교정후근시력≥J5자,분별위37례、37례화36례。주관이근법측량술후1주、1개월、3개월적조절폭도분별위(2.02±0.59) D、(1.91±0.53) D、(1.82±0.54)D。부경편법측량적의조절폭도분별위(1.92±0.61)D、(1.85±0.54)D、(1.79±0.49)D,차이균무통계학의의(P>0.05)。원시력교정후근시력화조절폭도지간정정상관관계(P=0.00)。초점심도범위곡선재0.0D화-3.0D좌우각유일파봉,초점심도범위위(+1.5~4.0)D。결론：다초점인공정상체가제공량호적원、근시력,원기효과유대진일보관찰。
Objective:To investigate the clinical effects and ranges of accommodation of multifocal intraocular lens implantation of ultrasonic emulsification cataract resorption. Methods:Forty-seven patients ( 47 eyes ) with cataract were treated with multifocal intraocular lens implantation of ultrasonic emulsification cataract resorption. The naked far and near visual acuity,the best corrected far and near visual acuity and ranges of accommodation were measured. All patients were followed up for 1 to 12 months,the clinical data of patients were analyzed after 1 week, 1 month and 3 months of operation. Results:The naked near visual acuity of 38 cases at postoperative 1 week,40 cases at postoperative 1 month and 38 cases at postoperative 3 months were more than or equal to J5,the corrected near visual acuity of 37 cases at postoperative 1 week,37 cases at postoperative 1 month and 36 cases at postoperative 3 months were more than or equal to J5. Under push-up test and defocusing test,the ranges of accommodation after 1 week,1 month and 3 months of operation were(2.02 ±0.59)D,(1.91 ±0.53)D and(1.82 ±0.54)D,and(1.92 ±0.61)D,(1.85 ±0.54)D and(1.79 ± 0. 49)D,respectively,the differences of whose were not statistically significant(P>0. 05). The near visual acuity after correcting far visual acuity was positive correlation with the range of accommodation. Two wave crests were found at 0. 0D and -3. 0D of the curve of focus depth,the depth of focus extension was( +1. 5 to 4. 0)D. Conclusions:Multifocal intraocular lens can provide good near and far visual acuity,the long-term effects of which remains to be seen.
