CAJ | 학술논문

目的探讨改良折叠型人工晶状体缝线固定术对眼外伤晶状体玻璃体切除术后黄斑区视网膜的影响.方法对2011年5月至2013年12月在唐山市眼科医院随机抽取行改良折叠型人工晶状体缝线固定术的眼外伤晶状体玻璃体切除术后患者25例(25只眼),利用OCT测量术前及术后1d、1周、1个月时以黄斑中心凹为中心直径1 mm区域、3 mm区域及5 mm区域的上方、鼻侧、下方、颞侧9个区域的视网膜厚度.结果术前及术后1d、1周、1个月时黄斑区视网膜的变化无统计学意义(P＞0.05).结论改良折叠型人工晶状体缝线固定术对黄斑区视网膜的影响小,是安全有效地治疗眼外伤晶状体、玻璃体切除术后无晶状体眼屈光矫正方法.
목적 탐토개량절첩형인공정상체봉선고정술대안외상정상체파리체절제술후황반구시망막적영향.방법 대2011년5월지2013년12월재당산시안과의원수궤추취행개량절첩형인공정상체봉선고정술적안외상정상체파리체절제술후환자25례(25지안),이용OCT측량술전급술후1d、1주、1개월시이황반중심요위중심직경1 mm구역、3 mm구역급5 mm구역적상방、비측、하방、섭측9개구역적시망막후도.결과 술전급술후1d、1주、1개월시황반구시망막적변화무통계학의의(P＞0.05).결론 개량절첩형인공정상체봉선고정술대황반구시망막적영향소,시안전유효지치료안외상정상체、파리체절제술후무정상체안굴광교정방법.
Objective To investigate the changes of macular retinal thickness after using modified operation with IOL delivery system secondary foldable intraocular lens with suture fixation to treat aphakic eye after ocular trauma with lens-vitrectomy.Methods Twenty-five eyes of 25 patients who underwent foldable intraocular with suture fixation by modified operation were recruited randomly.The average macular retinal thickness,and volume of nine zones which were the areas of lmm diameter around the macular fovea,the superior,nasal lateral,anterior and bitemporal lateral of 3mm and 5mm diameter around from it,were measured pre-operatively and at 1 day,1 week,1 month postoperatively by the use of optical coherence tomography (OCT).Results The changes on macular retinal thickness were not obvious in this surgery.Using modified operation secondary foldable intraocular implantation with suture fixation at ciliary sulcus was successful to correct aphakic eye after ocular trauma with lens-vitrectomy.Conclusions Improved folding intraocular lens fixation suture has little impact on the macular area of the retina,is safe and effective in the treatment of ocular lens trauma,aphakia after vitrectomy,and is a refractive correction method.