中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2015年
4期
384-386
,共3页
先天性白内障%人工晶状体%压贴球镜%婴幼儿
先天性白內障%人工晶狀體%壓貼毬鏡%嬰幼兒
선천성백내장%인공정상체%압첩구경%영유인
Congenital cataract%Intraocular lens%Press-on spherical lens%Infant
目的 探讨I期人工晶状体植入和压贴球镜矫正单眼先天性白内障术后无晶状体眼的疗效.方法 临床病例对照研究.对2009年8月至2012年6月在济南市第二人民医院就诊的46例单眼先天性白内障患者(年龄6～18月),采用随机数字表法随机分为人工晶状体植入组(A组)和压贴球镜组(B组),随访1年,观察视力变化及术眼情况.结果 二组术后1年视力较术后1周均明显提高,差异有统计学意义(tA=43.02,P＜0.01,95％可信区间:0.302～0.332;tB=25.62,P＜0.01,95％可信区间:0.158～0.186),二组术后1年与术后1周视力差值为0.317±0.023和0.172±0.019,A组较B组视力提高更明显,差异有统计学意义(t =23.31,P＜0.01,95％可信区间:0.132～0.158).炎性反应重者A组10例(43.48％)、B组3例(13.04％),差异有统计学意义(x2=3.86,P=0.049);视轴区出现致密纤维增殖膜A组6例(26.09％)、B组7例(30.43％),差异无统计学意义(x2=0.107,P=0.743);二组均未见其它眼部并发症.结论 对6～18个月单眼先天性白内障患者应在条件允许的情况下尽早I期植入人工晶状体,未植入人工晶状体患者可用压贴球镜行屈光矫正.
目的 探討I期人工晶狀體植入和壓貼毬鏡矯正單眼先天性白內障術後無晶狀體眼的療效.方法 臨床病例對照研究.對2009年8月至2012年6月在濟南市第二人民醫院就診的46例單眼先天性白內障患者(年齡6～18月),採用隨機數字錶法隨機分為人工晶狀體植入組(A組)和壓貼毬鏡組(B組),隨訪1年,觀察視力變化及術眼情況.結果 二組術後1年視力較術後1週均明顯提高,差異有統計學意義(tA=43.02,P＜0.01,95％可信區間:0.302～0.332;tB=25.62,P＜0.01,95％可信區間:0.158～0.186),二組術後1年與術後1週視力差值為0.317±0.023和0.172±0.019,A組較B組視力提高更明顯,差異有統計學意義(t =23.31,P＜0.01,95％可信區間:0.132～0.158).炎性反應重者A組10例(43.48％)、B組3例(13.04％),差異有統計學意義(x2=3.86,P=0.049);視軸區齣現緻密纖維增殖膜A組6例(26.09％)、B組7例(30.43％),差異無統計學意義(x2=0.107,P=0.743);二組均未見其它眼部併髮癥.結論 對6～18箇月單眼先天性白內障患者應在條件允許的情況下儘早I期植入人工晶狀體,未植入人工晶狀體患者可用壓貼毬鏡行屈光矯正.
목적 탐토I기인공정상체식입화압첩구경교정단안선천성백내장술후무정상체안적료효.방법 림상병례대조연구.대2009년8월지2012년6월재제남시제이인민의원취진적46례단안선천성백내장환자(년령6～18월),채용수궤수자표법수궤분위인공정상체식입조(A조)화압첩구경조(B조),수방1년,관찰시력변화급술안정황.결과 이조술후1년시력교술후1주균명현제고,차이유통계학의의(tA=43.02,P＜0.01,95％가신구간:0.302～0.332;tB=25.62,P＜0.01,95％가신구간:0.158～0.186),이조술후1년여술후1주시력차치위0.317±0.023화0.172±0.019,A조교B조시력제고경명현,차이유통계학의의(t =23.31,P＜0.01,95％가신구간:0.132～0.158).염성반응중자A조10례(43.48％)、B조3례(13.04％),차이유통계학의의(x2=3.86,P=0.049);시축구출현치밀섬유증식막A조6례(26.09％)、B조7례(30.43％),차이무통계학의의(x2=0.107,P=0.743);이조균미견기타안부병발증.결론 대6～18개월단안선천성백내장환자응재조건윤허적정황하진조I기식입인공정상체,미식입인공정상체환자가용압첩구경행굴광교정.
Objective To evaluate the therapeutic effects of primary intraocular lens implantation and press-on spherical lens for optical correction of aphakia following unilateral congenital cataract removal in infant.Methods Forty-six patients with the age from 6 months to 18 months were divided into 2 groups randomly.Group A was with intraocular lens implantation,while group B with press-on spherical lens.The visual acuity and possible complications were followed up for 1 year.Results The visual acuity of both groups was significantly better 1 year than 1 week after surgery (tA=43.02,P ＜0.0001,95％ confidence interval:0.302-0.332;tB=25.62,P ＜0.0001,95％ confidence interval:0.158-0.186).The visual acuity difference between 1 year and 1 week after surgery was high-er in the group A (0.317±0.023) than in the group B (0.172±0.019) (t =23.31,P ＜0.0001,95％ confidence interval:0.132-0.158).Serious inflammatory reactions occurred significantly more often in the group A than in the group B (x2=3.86,P =0.049).Visual axis opacity occurred in 6 eyes (26.09％) in group A and 7 eyes (30.43％) in group B.The differences were not significant (x2=0.107,P =0.743).No other complications were found in two groups.Conclusions The patients suffering from unilateral congenital cataract,with the age from 6 months to 18 months,should be implanted intraocular lens as soon as possible under permissive conditions.The patients who were not suitable for primary intraocular lens implantation can be treated with press-on spherical lens for optical correction.
