有晶状体眼后房型人工晶状体植入术对高度近视患者立体视觉的影响

发布时间：2018-11-10 16:43

【摘要】：目的:观察有晶状体眼人工晶状体植入术对高度近视患者立体视觉的影响,从视觉最高形式的角度评价有晶状体眼后房型人工晶状体(implantable contact lens,ICL)植入术的手术疗效。方法:分析2014-01/12于我院行有晶状体眼人工晶状体植入手术的高度近视患者46例92眼,年龄26.13±3.37(19~32)岁,其中男20例(43%),女26例(57%),对这些患者分别进行行术前、术后立体视觉分析。结果:术前患者双眼(92眼)等效球镜10.02±2.71D,术后等效球镜-0.02±0.25D,两组间有统计学差异(t=14.062,P=0.000)。术前近立体视盲患者6例,余患者近立体视为637.50±462.08arcsec,术后无患者近立体视盲,近立体视为126.09±165.78arcsec,两组间比较有统计学差异(Z=-5.725,P=0.000);术前远立体视盲患者共12例,余患者远立体视为400.59±257.00arcsec,术后远立体视盲患者共2例,余患者远立体视为152.73±111.65arcsec,两组间比较有统计学差异(Z=-4.976,P=0.000)。结论:有晶状体眼人工晶状体植入手术可使高度近视患者双眼屈光状态变为正视从而获得清晰视觉,并有效改善其立体视觉。
[Abstract]:Objective: to observe the effect of intraocular lens implantation (IOL) on stereopsis in patients with high myopia, and to evaluate the effect of posterior chamber intraocular lens implantation (implantable contact lens,ICL) on the most visual form. Methods: a total of 46 cases (92 eyes) with high myopia (age 26.13 卤3.37 (1932), male 20 (43%) and female 26 (57%) underwent intraocular lens implantation in our hospital on 2014-01 / 12 were analyzed. These patients were analyzed with stereoscopic vision before and after operation. Results: there was a significant difference between the two groups (t = 14.062, P = 0.000). The preoperative and postoperative equivalent spherical endoscopy were 10.02 卤2.71D and -0.02 卤0.25Drespectively. There were 6 patients with near-stereopsis before operation, the other patients were treated as 637.50 卤462.08arcsec. there were no patients with near-stereopsis and 126.09 卤165.78arcsec. there was statistical difference between the two groups. There were 12 patients with distant stereopsis before operation, 2 patients with distant stereopsis and 152.73 卤111.65arcsec. there was significant difference between the two groups. Conclusion: intraocular lens implantation in patients with high myopia can make the refractive state of high myopia look squarely and obtain clear vision and improve stereoscopic vision effectively.
【作者单位】：中国陕西省西安市第一医院西安市眼科医院;
【分类号】：R779.6

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