CAJ | 학술논문

目的：评价有晶状体眼后房型人工晶状体（PPC-ICL）植入治疗高度近视术后患者水平隐斜及融合功能的变化。方法自身对照研究。被检者为行PPC-ICL植入术治疗高度近视的患者42例（84眼），分别于术前、术后1个月和术后6个月行远、近水平隐斜及远、近内外融合的测定。采用重复测量的方差分析对术前、术后1个月及6个月以上各参数进行统计分析。结果术后1个月时看远、看近水平隐斜分别为（-2.24±3.33）△和（-4.95±5.45）△，术后6个月时分别为（-2.02±2.93）△和（-3.55±5.10）△，均低于术前[（-4.33±4.62）△和（-8.88±6.74）△]，差异有统计学意义（F=5.00、9.53，P＜0.01）。术后1个月时看远、看近内融合分别为（12.74±3.52）△和（14.36±3.96）△，术后6个月时分别为（13.95±4.01）△和（16.79±3.90）△，均高于术前[（9.83±2.68）△和（10.95±3.28）△]，差异有统计学意义（F=15.83、25.96，P＜0.01）。术后1个月时看远、看近外融合分别为（8.05±2.15）△和（15.29±3.52）△，术后6个月时分别为（7.74±1.86）△和（14.64±3.11）△，均高于术前[（7.36±2.66）△和（13.43±3.11）△]。术后看近外融合较术前差异有统计学意义（F=3.53，P＜0.05），看远外融合差异无统计学意义（F=0.99，P＞0.05）。结论 PPC-ICL植入术后患者水平隐斜和融合范围较术前改善，视觉舒适度提高。
목적：평개유정상체안후방형인공정상체（PPC-ICL）식입치료고도근시술후환자수평은사급융합공능적변화。방법자신대조연구。피검자위행PPC-ICL식입술치료고도근시적환자42례（84안），분별우술전、술후1개월화술후6개월행원、근수평은사급원、근내외융합적측정。채용중복측량적방차분석대술전、술후1개월급6개월이상각삼수진행통계분석。결과술후1개월시간원、간근수평은사분별위（-2.24±3.33）△화（-4.95±5.45）△，술후6개월시분별위（-2.02±2.93）△화（-3.55±5.10）△，균저우술전[（-4.33±4.62）△화（-8.88±6.74）△]，차이유통계학의의（F=5.00、9.53，P＜0.01）。술후1개월시간원、간근내융합분별위（12.74±3.52）△화（14.36±3.96）△，술후6개월시분별위（13.95±4.01）△화（16.79±3.90）△，균고우술전[（9.83±2.68）△화（10.95±3.28）△]，차이유통계학의의（F=15.83、25.96，P＜0.01）。술후1개월시간원、간근외융합분별위（8.05±2.15）△화（15.29±3.52）△，술후6개월시분별위（7.74±1.86）△화（14.64±3.11）△，균고우술전[（7.36±2.66）△화（13.43±3.11）△]。술후간근외융합교술전차이유통계학의의（F=3.53，P＜0.05），간원외융합차이무통계학의의（F=0.99，P＞0.05）。결론 PPC-ICL식입술후환자수평은사화융합범위교술전개선，시각서괄도제고。
Objective To evaluate the changes in horizontal phoria and fusional function after phakic posterior chamber implantable contact lens (PPC-ICL) implantation for high myopia. Methods In this self controlled study, PPC-ICL implantation surgery was performed on 84 eyes of 42 high myopia patients. Far and near horizontal phoria , medial fusional range and lateral fusional range were calculated before surgery and 1 and 6 months after surgery. A variance analysis test of continuous measurement data was used for statistical analysis. Results Before surgery, far horizontal phoria was-4.33△±4.62△ and near horizontal phoria was -8.88△±6.74△. One and 6 months after surgery, it was-2.24△±3.33△ and -2.02△±2.93△ for far horizontal phoria and -4.95△±5.45△ and -3.55△±5.10△ for near horizontal phoria. All values decreased. The differences for far and near horizontal phoria were statistically significant (F=5.00, 9.53, P<0.01). One and 6 months after surgery, the far medial fusional range was 12.74△±3.52△ and 13.95△±4.01△ and the near medial fusional range was 14.36△±3.96△ and 16.79△±3.90△. These values were obviously larger than the 9.83△±2.68△ and 10.95△±3.28△ values before surgery. The differences were statistically significant (F=15.83, 25.96, P<0.01). One and 6 months after surgery, the far lateral fusional range was 8.05△±2.15△ and 7.74△±1.86△ and the near lateral fusional range was 15.29△±3.52△ and 14.64△±3.11△. These values were larger than the 7.36△±2.66△and 13.43△±3.11△ before surgery. The difference in far range was not statistically significant (F=0.99, P>0.05) while the difference in the near lateral fusional range was statistically significant (F=3.53, P<0.05). Conclusion Horizontal phoria and fusional range after PPC-ICL implantation obviously improved compared with the values before surgery and visual comfort also improved.