散光性后房型人工晶体植入矫治近视合并散光的临床研究

发布时间：2018-09-09 11:20

【摘要】：目的探讨散光性后房型人工晶体(TICL)植入矫治近视合并散光的有效性、稳定性。方法对该院就诊的71例中、高度近视合并散光患者共125眼植入TICL。术后随访1年以上,观察术后3、6、12个月的视力、屈光状态、人工晶体眼内旋转情况、眼压、角膜内皮细胞及拱高。结果 LogMAR视力:术后12个月裸眼视力(UCVA)均值为0.064±0.157,较术前最佳矫正视力(BCVA)均值0.197±0.162有显著性提高(P0.01),其中,119眼UCVA(95.2%)达到或超过术前BCVA,仅6眼(4.8%)UCVA低于术前BCVA。屈光状态:术后3、6、12个月球镜及柱镜均值两两比较差异均无统计学意义(P0.01),术后12个月,球镜绝对值平均(0.36±0.41)D,共105眼(84.0%)在0~±0.50D内,柱镜平均(-0.63±0.61)D,共109眼(87.2%)在0~-1.00D内。人工晶体旋转情况:术后12个月人工晶体平均旋转(4.76±6.14)°,共101眼(80.8%)旋转度数低于5°。术后3、6、12个月眼压及角膜内皮细胞计数与术前比较,差异均无统计学意义(P0.01)。结论 TICL植入矫治近视合并散光视力效果及术后稳定性较好,安全性高。
[Abstract]:Objective to investigate the efficacy and stability of (TICL) implantation in correction of myopia with astigmatism. Methods TICL. implantation was performed in 125 eyes of 71 patients with high myopia and astigmatism. The visual acuity, refractive state, intraocular lens rotation, intraocular pressure, corneal endothelial cells and arched height were observed 3 months and 12 months after operation. Results LogMAR visual acuity: the mean (UCVA) of uncorrected visual acuity was 0.064 卤0.157 at 12 months postoperatively, which was significantly higher than that of preoperative best corrected visual acuity (BCVA) of 0.197 卤0.162 (P0.01), in which UCVA of 119 eyes (95.2%) reached or exceeded preoperative BCVA, in only 6 eyes (4.8%), UCVA was lower than preoperative BCVA. in only 6 eyes (4.8%). Refractive status: there was no significant difference in the mean values of 6, 12 lunar and column endoscopy after operation (P0.01). At 12 months after operation, the mean absolute value of spherical endoscopy was (0.36 卤0.41) D, 105 eyes (84.0%) were within 0 ~ 卤0.50 D, and the average of column mirror was (-0.63 卤0.61) D, and 109 eyes (87.2%) were within 0 ~ 1.00 D. Rotation of intraocular lens: the mean rotation of intraocular lens was (4.76 卤6.14) 掳12 months after operation, and the rotation degree of 101 eyes (80.8%) was less than 5 掳. There was no significant difference in intraocular pressure (IOP) and corneal endothelial cell count (P0.01). Conclusion TICL implantation is safe and effective in the correction of myopia with astigmatism.
【作者单位】：第三军医大学附属西南医院眼科;
【分类号】：R779.6

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