本文關(guān)鍵詞： 近視 白內(nèi)障 有晶狀體眼人工晶狀體植入術(shù) 軸長(zhǎng)度 眼　出處：《解放軍醫(yī)藥雜志》2016年04期 　論文類型：期刊論文

【摘要】：目的觀察高度近視合并白內(nèi)障植入不同后房型有晶狀體眼人工晶狀體(phakic intraocular lens,PIOL)對(duì)眼軸測(cè)量及內(nèi)軸向空間結(jié)構(gòu)穩(wěn)定性的影響。方法 2012年7月—2015年7月對(duì)106例(168只眼)行白內(nèi)障超聲乳化吸出術(shù)聯(lián)合PIOL植入術(shù),根據(jù)患者植入PIOL類型分為有晶狀體眼屈光鏡(phakic refractive lens,PRL)組81只眼和可植入式接觸鏡(implantable collamer lens,ICL)組87只眼。測(cè)量?jī)山M手術(shù)前、后眼軸長(zhǎng)度并分析其相關(guān)性,觀察手術(shù)前、后前房深度的變化。結(jié)果兩組術(shù)后眼軸長(zhǎng)度和最佳矯正視力均較術(shù)前提高,PRL組術(shù)后眼軸長(zhǎng)度長(zhǎng)于ICL組,但術(shù)后最佳矯正視力低于ICL組(P0.05)。手術(shù)前、后眼軸長(zhǎng)度差值PRL組隨著眼軸的延長(zhǎng)而逐漸縮小,ICL組隨著眼軸的延長(zhǎng)而逐漸增大,但波動(dòng)范圍較小。兩組術(shù)后前房深度小于術(shù)前,但PRL組大于ICL組(P0.05)。結(jié)論后房型PIOL植入對(duì)高度近視合并白內(nèi)障患者的眼軸測(cè)量影響較小,有利于眼內(nèi)軸向空間結(jié)構(gòu)的穩(wěn)定,但不同材質(zhì)的PIOL對(duì)內(nèi)軸向結(jié)構(gòu)的穩(wěn)定性不同。
[Abstract]:Objective to observe the Phakic intraocular lens of different posterior chamber lens intraocular lens implantation in high myopia with cataract. Effect of PIOL on axial measurement and stability of internal axial spatial structure. Methods 106 cases (168 eyes) were treated from July 2012 to July 2015. Phacoemulsification combined with PIOL implantation was performed. According to the type of PIOL implantation, the patients were divided into Phakic refractive lens. 81 eyes of PRL group and 87 eyes of implantable collamer lensus group were measured before operation. Results the postoperative axial length and best corrected visual acuity in both groups were longer than those in ICL group. But the postoperative best corrected visual acuity (BCVA) was lower than that of ICL group (P 0.05). Before operation, the difference of posterior axial length in PRL group was gradually reduced with the extension of eye axis and gradually increased with the extension of eye axis. However, the range of fluctuation was small. The depth of anterior chamber in the two groups was less than that before operation. Conclusion posterior chamber PIOL implantation has little effect on the measurement of ocular axis in patients with high myopia and cataract, and is beneficial to the stability of intraocular axial spatial structure. However, the stability of PIOL with different materials to internal axial structure is different.
【作者單位】： 第三軍醫(yī)大學(xué)第三附屬醫(yī)院眼科;武警重慶總隊(duì)醫(yī)院眼科;
【分類號(hào)】：R779.6
【正文快照】： [作者單位]400042重慶,第三軍醫(yī)大學(xué)第三附屬醫(yī)院眼科(徐潔);400061重慶,武警重慶總隊(duì)醫(yī)院眼科(韓紅)高度近視也稱病理性近視,是眼科常見(jiàn)的屈光不正性疾病,是致盲的主要原因之一。據(jù)統(tǒng)計(jì),全世界近視人群中約有2%的患者是高度近視[1]。白內(nèi)障是由于各種原因如老化、遺傳、局部

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