本文選題：IOL-Master + A超　； 參考：《眼科新進(jìn)展》2014年11期

【摘要】：目的分析應(yīng)用IOL-Master測(cè)量重硅油Oxane HD填充眼眼軸長(zhǎng)度的效果。方法收集2011年5月至2013年5月在我院就診的36例(36眼)重硅油Oxane HD填充眼患者,分別應(yīng)用A超和IOL-Master進(jìn)行眼軸測(cè)量,并進(jìn)行人工晶狀體度數(shù)測(cè)算,在重硅油取出聯(lián)合超聲乳化白內(nèi)障摘出人工晶狀體植入術(shù)后1個(gè)月應(yīng)用A超和IOL-Master進(jìn)行第二次眼軸測(cè)量,3個(gè)月時(shí)進(jìn)行屈光檢查,對(duì)兩種檢查的結(jié)果進(jìn)行對(duì)比分析。結(jié)果術(shù)前眼軸長(zhǎng)度A超測(cè)量為(26.3±3.6)mm,IOL-Master測(cè)量為(26.2±3.7)mm;術(shù)后1個(gè)月眼軸長(zhǎng)度A超測(cè)量為(26.2±3.6)mm,IOL-Master測(cè)量為(26.2±3.7)mm。術(shù)前術(shù)后A超測(cè)量結(jié)果之間、IOL-Master測(cè)量結(jié)果之間,以及術(shù)前IOL-Master測(cè)量結(jié)果與術(shù)后A超測(cè)量結(jié)果之間差異均無(wú)統(tǒng)計(jì)學(xué)意義(均為P0.05),而術(shù)前A超測(cè)量結(jié)果與術(shù)后IOL-Master測(cè)量結(jié)果差異有統(tǒng)計(jì)學(xué)意義(P=0.030),A超測(cè)量結(jié)果較IOL-Master測(cè)量結(jié)果眼軸較長(zhǎng)。術(shù)前IOL Master測(cè)量的人工晶狀體度數(shù)預(yù)估術(shù)后屈光狀態(tài)為-0.36~0.08(-0.11±0.13)D,術(shù)后3個(gè)月等效球鏡度為-0.41~0.11(-0.11±0.14)D。用IOL-Master計(jì)算的預(yù)計(jì)術(shù)后屈光度與術(shù)后真實(shí)屈光度比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論對(duì)于重硅油Oxane HD填充眼的眼軸測(cè)量,應(yīng)首選IOL-Master測(cè)量,對(duì)于屈光間質(zhì)混濁、患者無(wú)法固視而不能進(jìn)行IOL-Master檢查的患者眼軸可采用A超測(cè)量。
[Abstract]:Objective to analyze the effect of using IOL-Master to measure the length of eye axis in Oxane HD eyes filled with heavy silicone oil. Methods from May 2011 to May 2013, 36 patients (36 eyes) with heavy silicone oil (Oxane HD) were enrolled in our hospital. The axial measurements were performed by A-scan and IOL-Master respectively, and the IOL degree was calculated. After the extraction of heavy silicone oil and phacoemulsification cataract extraction and intraocular lens implantation, A ultrasound and IOL-Master were used to measure the second eye axis one month later, and refractive examination was performed at 3 months. The results of the two examinations were compared and analyzed. Results preoperative axial length A was 26.3 鹵3.6 mm and IOL-Master was 26.2 鹵3.7 mm and 26.2 鹵3.6 mm IOL-Master, respectively. Before and after operation, the results of A ultrasound measurement were compared with those of IOL-Master. There was no significant difference between preoperative IOL-Master and post-operative A-scan (P 0.05), but there was significant difference between preoperative A and postoperative IOL-Master. The degree of intraocular lens (IOL) measured by IOL Master before operation was estimated to be -0.360.08 鹵0.11 鹵0.13 Dand, and the equivalent spherical degree was -0.41 鹵0.11 鹵0.11 鹵0.14 D3 months after operation. There was no significant difference between the predicted postoperative diopter calculated by IOL-Master and the postoperative true diopter (P 0.05). Conclusion for the axial measurement of Oxane HD eyes filled with heavy silicone oil, IOL-Master should be chosen as the first choice, and A ultrasound should be used for opacity of refractive stroma and IOL-Master examination.
【作者單位】： 昆明醫(yī)科大學(xué)第四附屬醫(yī)院眼科;云南省第二人民醫(yī)院眼科;
【基金】：云南省教育廳科學(xué)研究基金(編號(hào):2011C079) 云南省衛(wèi)生科技計(jì)劃項(xiàng)目(編號(hào):2012WS0109) 云南省應(yīng)用基礎(chǔ)研究項(xiàng)目(編號(hào):2012FB083) 云南省高層次衛(wèi)生技術(shù)人才培養(yǎng)專項(xiàng)經(jīng)費(fèi)資助~~
【分類號(hào)】：R779.6

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本文編號(hào)：1833470