【摘要】：目的探討白內(nèi)障患者術(shù)前角膜內(nèi)皮情況與術(shù)后早期視力及眼壓的相關(guān)性。方法隨機(jī)選取在我院2010年6月至2011年5月行白內(nèi)障超聲乳化摘出聯(lián)合人工晶狀體植入術(shù)110例術(shù)后3d內(nèi)視力達(dá)到0.3以上的年齡相關(guān)性白內(nèi)障患者(術(shù)后視力≥0.3組)及31例術(shù)后3d內(nèi)最佳視力不足0.3的年齡相關(guān)性白內(nèi)障患者(術(shù)后視力0.3組),分別按手術(shù)前后眼壓變化分為眼壓升高組及眼壓不升高組,對(duì)所有患者術(shù)前中央角膜厚度(central corneal thickness,CCT)、角膜內(nèi)皮細(xì)胞密度(endothelial cell density,CD)及六角形細(xì)胞百分?jǐn)?shù)(the percentage of hexagonal cells,HEX)進(jìn)行統(tǒng)計(jì)學(xué)對(duì)比分析。結(jié)果術(shù)后視力達(dá)到0.3和不足0.3組比較、亞組間比較,中央角膜厚度及六角形細(xì)胞百分?jǐn)?shù)差異均無(wú)統(tǒng)計(jì)學(xué)意義(均為P0.05);視力不足0.3的眼壓升高與不升高患者比較,角膜內(nèi)皮細(xì)胞密度差異有統(tǒng)計(jì)學(xué)意義(P=0.024)。結(jié)論白內(nèi)障患者術(shù)后早期視力與角膜內(nèi)皮細(xì)胞情況無(wú)明顯相關(guān)關(guān)系;角膜內(nèi)皮細(xì)胞密度對(duì)維持白內(nèi)障術(shù)后眼壓的穩(wěn)定性有一定作用。
[Abstract]:Objective to investigate the correlation between corneal endothelium and early postoperative visual acuity and intraocular pressure (IOP) in cataract patients. Methods from June 2010 to May 2011, 110 patients with age-related cataract whose visual acuity was better than 0.3 within 3 days after cataract extraction and intraocular lens implantation were randomly selected (postoperative visual acuity 鈮，

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