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
2015年
8期
463-467
,共5页
熊洁%张辰星%罗启惠%周青青%汪辉
熊潔%張辰星%囉啟惠%週青青%汪輝
웅길%장신성%라계혜%주청청%왕휘
有晶状体眼人工晶状体植入术%近视,退行性%散光%调位手术
有晶狀體眼人工晶狀體植入術%近視,退行性%散光%調位手術
유정상체안인공정상체식입술%근시,퇴행성%산광%조위수술
Phakic intraocular lenses%Myopia,degenerative%Astigmatism%Reposition
目的 探讨有晶状体眼后房型散光人工晶状体(PPC-TICL)二次调位手术的适应证及其有效性和稳定性.方法 回顾性研究.纳入PPC-TICL植入术后旋转角度≥10°患者26例(33眼),其中12眼在植入术后3个月内进行了二次调位术作为调位组,21眼未进行二次调位术作为对照组.随访12个月以上测量2组logMAR视力、屈光状态、PPC-TICL旋转角度、拱高、角膜内皮细胞数量、眼压以及视觉质量问卷调查评分等指标,采用独立样本t检验比较2组间各指标值,采用重复测量的方差分析比较调位组二次调位术前、术后3个月、术后12个月各指标值.结果 二次调位术前及术后12个月调位组与对照组比较:裸眼视力(UCVA)、柱镜度、PPC-TICL旋转角度及问卷调查评分2组间差异具有统计学意义(t=2.569、-5.789、6.297、13.061、-2.063、3.162、-12.973、-2.065,P＜0.05),最佳矫正视力(BCVA)、等效球镜度(SE)、拱高、角膜内皮细胞计数及眼压差异无统计学意义.调位组调位术前、术后3个月及12个月比较:UCVA、柱镜度、SE、PPC-TICL旋转角度及问卷调查评分差异均具有统计学意义(F=30.839、51.118、5.127、117.320、62.347,P＜0.05),进一步两两比较,调位术前较术后3个月、12个月差异均具有统计学意义(P＜0.05),而术后3个月与12个月比较差异均无统计学意义.结论 针对PPC-TICL散光轴位大角度旋转的二次调位术是有效和稳定的,术后PPC-TICL未再出现大角度旋转,早期进行二期调位手术可获得良好的预后.
目的 探討有晶狀體眼後房型散光人工晶狀體(PPC-TICL)二次調位手術的適應證及其有效性和穩定性.方法 迴顧性研究.納入PPC-TICL植入術後鏇轉角度≥10°患者26例(33眼),其中12眼在植入術後3箇月內進行瞭二次調位術作為調位組,21眼未進行二次調位術作為對照組.隨訪12箇月以上測量2組logMAR視力、屈光狀態、PPC-TICL鏇轉角度、拱高、角膜內皮細胞數量、眼壓以及視覺質量問捲調查評分等指標,採用獨立樣本t檢驗比較2組間各指標值,採用重複測量的方差分析比較調位組二次調位術前、術後3箇月、術後12箇月各指標值.結果 二次調位術前及術後12箇月調位組與對照組比較:裸眼視力(UCVA)、柱鏡度、PPC-TICL鏇轉角度及問捲調查評分2組間差異具有統計學意義(t=2.569、-5.789、6.297、13.061、-2.063、3.162、-12.973、-2.065,P＜0.05),最佳矯正視力(BCVA)、等效毬鏡度(SE)、拱高、角膜內皮細胞計數及眼壓差異無統計學意義.調位組調位術前、術後3箇月及12箇月比較:UCVA、柱鏡度、SE、PPC-TICL鏇轉角度及問捲調查評分差異均具有統計學意義(F=30.839、51.118、5.127、117.320、62.347,P＜0.05),進一步兩兩比較,調位術前較術後3箇月、12箇月差異均具有統計學意義(P＜0.05),而術後3箇月與12箇月比較差異均無統計學意義.結論 針對PPC-TICL散光軸位大角度鏇轉的二次調位術是有效和穩定的,術後PPC-TICL未再齣現大角度鏇轉,早期進行二期調位手術可穫得良好的預後.
목적 탐토유정상체안후방형산광인공정상체(PPC-TICL)이차조위수술적괄응증급기유효성화은정성.방법 회고성연구.납입PPC-TICL식입술후선전각도≥10°환자26례(33안),기중12안재식입술후3개월내진행료이차조위술작위조위조,21안미진행이차조위술작위대조조.수방12개월이상측량2조logMAR시력、굴광상태、PPC-TICL선전각도、공고、각막내피세포수량、안압이급시각질량문권조사평분등지표,채용독립양본t검험비교2조간각지표치,채용중복측량적방차분석비교조위조이차조위술전、술후3개월、술후12개월각지표치.결과 이차조위술전급술후12개월조위조여대조조비교:라안시력(UCVA)、주경도、PPC-TICL선전각도급문권조사평분2조간차이구유통계학의의(t=2.569、-5.789、6.297、13.061、-2.063、3.162、-12.973、-2.065,P＜0.05),최가교정시력(BCVA)、등효구경도(SE)、공고、각막내피세포계수급안압차이무통계학의의.조위조조위술전、술후3개월급12개월비교:UCVA、주경도、SE、PPC-TICL선전각도급문권조사평분차이균구유통계학의의(F=30.839、51.118、5.127、117.320、62.347,P＜0.05),진일보량량비교,조위술전교술후3개월、12개월차이균구유통계학의의(P＜0.05),이술후3개월여12개월비교차이균무통계학의의.결론 침대PPC-TICL산광축위대각도선전적이차조위술시유효화은정적,술후PPC-TICL미재출현대각도선전,조기진행이기조위수술가획득량호적예후.
Objective To assess the indication,effectiveness and stability of phakic posterior chamber toric implantable collamer lens (PPC-TICL) repositioning operation on PPC-TICL axis rotation.Methods A retrospective study on 33 PPC-TICL eyes with PPC-TICL axis rotation more than 10°has been performed,12 eyes have been operated PPC-TICL repositioning in three months postoperation was operation group and 21 eyes only have been performed follow-up examination was control group.The observation indices was studied including LogMAR vision,refractive,PPC-TICL axis rotation,vault value,corneal endothelium,intraocular pressure and subject vision assessment scales.The indices of pre-reposition in operation group and control group post-implantation 3 months follow-up were compared with independent-samples t test.To determine the effect of reposition,the indices of pre-reposition,post-reposition 3 months follow-up and 12 months follow-up in operation group have also been compared through repeat measured ANOVA.Results To compare pre-reposition,post-reposition on 12 months follow-up and control group,the indices including:UCVA,mean manifest refractive cylinder,PPC-TICL axis rotation and subject vision assessment scales have significant difference (t=2.569,-5.789,6.297,13.061,-2.063,3.162,-12.973,-2.065,P＜0.05),nevertheless,BCVA,mean manifest refractive spherical equivalent,vault value,intraocular pressure and corneal endothelium have no significant difference.To compare pre-reposition,3 months post-reposition and 12 months post-reposition,there were significant difference on visual outcome,mean manifest refractive cylinder,mean manifest refractive spherical equivalent,PPC-TICL axis rotation and subject vision assessment scales (F=30.839,51.118,5.127,117.320,62.347,P＜0.05).Meanwhile,there was also significant difference between pre-reposition and 3 months post-reposition or between pre-reposition and 12 months post-reposition in reposition group.Conclusion The retrospective study proved the effect and stability of TICL reposition operation after PPC-TICL axis large-angle rotation,early PPC-TICL reposition could result in perfect prognosis.
