中央孔型有晶状体眼后房型人工晶体矫正高度近视的临床研究

发布时间：2018-04-15 18:55

  本文选题：近视 + 散光　； 参考：《安徽医科大学学报》2017年06期

【摘要】：目的评价中央孔型有晶状体眼后房型人工晶体(ICL V4c)矫正高度近视的有效性、安全性、可预测性和稳定性。方法共纳入58例111只眼高度近视患者,术前检查包括裸眼视力(UCVA)、最佳矫正视力(BCVA)、球镜(SE)和柱镜(CE)、对比敏感度、眼压等。其中41例75只眼植入ICL V4c人工晶体(ICL组),21例36只眼植入散光型TICL V4c人工晶体(TICL组)。随访3个月,观察项目同术前,并记录术后并发症情况。结果术后3个月ICL组UCVA≥1.0占58.67%,61只眼(95.31%)UCVA≥术前BCVA,平均SE为(-0.26±1.16)D,术眼屈光度在±0.50 D者达66.67%(50只眼),安全指数(术后与术前BCVA比值)和疗效指数(术后UCVA与术前BCVA比值)分别为1.37和1.31。TICL组UCVA≥1.0占86.11%,32只眼(96.97%)的UCVA均≥术前BCVA。术后平均SE和CE分别为(0.08±0.84)D和(-0.34±0.54)D,术眼SE在±0.50 D达63.89%(23只眼),CE在±0.50D达66.67%(24只眼),安全指数和疗效指数分别为1.32和1.30。两组患者术后对比敏感度在各空间频率的明视及暗视条件下较术前均有明显提高。手术前后眼压无明显变化。结论高度近视患者植入ICL V4c后视觉质量得到了明显提高,该手术具有良好的有效性、安全性、可预测性、稳定性。
[Abstract]:Objective to evaluate the efficacy, safety, predictability and stability of central perforated posterior chamber intraocular lens (ICL V 4 c) in correction of high myopia.Methods A total of 58 cases (111 eyes) with high myopia were included. The preoperative examinations included UCVA, BCVAV, SES, contrast sensitivity, intraocular pressure and so on.Among them, 41 cases (75 eyes) were implanted with ICL V4c intraocular lens and 36 eyes (21 cases) were implanted with astigmatism TICL V4c intraocular lens.All patients were followed up for 3 months. The observation items were the same as before operation, and the postoperative complications were recorded.Results three months after operation, UCVA 鈮，

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