本文選題：白內(nèi)障 + 超聲乳化吸出��； 參考：《眼科新進展》2014年12期

【摘要】：目的探討白內(nèi)障超聲乳化吸出聯(lián)合人工晶狀體植入術(shù)后黃斑中心凹視網(wǎng)膜厚度與最佳矯正視力(best corrected visual acuity,BCVA)的相關(guān)性。方法選取2013年1月至2014年3月于我院接受超聲乳化吸出聯(lián)合人工晶狀體植入術(shù)治療的67例(83眼)白內(nèi)障患者的臨床資料進行回顧性分析,根據(jù)患者術(shù)后黃斑中心凹視網(wǎng)膜厚度將患者分為低厚度組(≤330μm)、中厚度組(330~350μm)及高厚度組(≥350μm),對比3組術(shù)后1周及術(shù)后1個月的BCVA差異,同時分析術(shù)后1周黃斑中心凹視網(wǎng)膜厚度與BCVA的相關(guān)性。結(jié)果 3組術(shù)后1周及1個月BCVA均較術(shù)前顯著提高,差異均有統(tǒng)計學(xué)意義(均為P0.05);但術(shù)后1周及術(shù)后1個月BCVA比較,差異無統(tǒng)計學(xué)意義(P0.05)。術(shù)后1周、1個月低厚度組BCVA均明顯高于中厚度組及高厚度組,差異均有統(tǒng)計學(xué)意義(均為P0.05),而中厚度組BCVA明顯高于高厚度組,差異均有統(tǒng)計學(xué)意義(均為P0.05)。術(shù)后1周低厚度組、中厚度組和高厚度組黃斑中心凹視網(wǎng)膜厚度分別為(322.67±36.61)μm、(341.72±37.36)μm、(352.61±29.59)μm,相關(guān)性分析顯示,術(shù)后1周黃斑中心凹視網(wǎng)膜厚度與BCVA存在顯著的負相關(guān)(r=-0.724,P=0.000)。術(shù)后1周低厚度組、中厚度組和高厚度組BCVA與術(shù)前差值分別為-0.56±0.12、-0.41±0.41、-0.23±0.56,相關(guān)性分析顯示,術(shù)后1周黃斑中心凹視網(wǎng)膜厚度與BCVA差值也存在顯著的負相關(guān)(r=-0.613,P=0.000)。結(jié)論超聲乳化吸出聯(lián)合人工晶狀體植入術(shù)后患者的黃斑中心凹視網(wǎng)膜厚度與BCVA存在顯著的負相關(guān)性。
[Abstract]:Objective to investigate the correlation between the retinal thickness of the macular fovea and the best corrected visual acuity (best corrected visual acuity, BCVA) after phacoemulsification and intraocular lens implantation. Methods 67 cases (83 eyes) with phacoemulsification and intraocular lens implantation in our hospital from January 2013 to March 2014 were selected. The clinical data of the disabled patients were analyzed retrospectively. The patients were divided into low thickness group (< 330 m), medium thickness group (330~350 mu m) and high thickness group (> 350 m). The difference of BCVA between the 3 groups after 1 weeks and 1 months after operation was compared. At the same time, the retinal thickness of the macula and the phase of BCVA was analyzed at the same time after the operation. Results 3 groups of 3 groups were significantly higher than preoperative 1 and 1 months after operation, and the difference was statistically significant (P0.05), but there was no significant difference between 1 weeks after operation and 1 months after operation (P0.05). 1 weeks after operation, and 1 months of low thickness group BCVA were significantly higher than the middle thickness group and high thickness group, the difference was statistically significant (all P0.05). The medium thickness group BCVA was significantly higher than the high thickness group, and the difference was statistically significant (P0.05). In the 1 week low thickness group, the medium thickness group and the high thickness group of the macular macular retina were (322.67 + 36.61) mu m, (341.72 + 37.36) mu m and (352.61 + 29.59) m. Correlation analysis showed that the retinal thickness of macular fovea and BCV at the 1 weeks after the operation. There was a significant negative correlation in A (r=-0.724, P=0.000). The difference between the middle thickness group and the high thickness group was -0.56 + 0.12, -0.41 0.41, -0.23 + 0.56, respectively, 1 weeks after the operation. The correlation analysis showed that the retinal thickness of the macula and the difference of BCVA were also negatively correlated (r=-0.613, P=0.000) at 1 weeks after the operation (r=-0.613, P=0.000). Conclusion phacoemulsification There was a significant negative correlation between macular foveal retinal thickness and BCVA after aspiration and intraocular lens implantation.
【作者單位】： 華中科技大學(xué)同濟醫(yī)學(xué)院附屬普愛醫(yī)院眼科;
【分類號】：R779.66

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9 李，

本文編號：1994655