开元棋牌电脑 |本期目录/Table of Contents|

[1]张婉琪,程缨淋,黄惠春,等.高度近视合并白内障患者术后人工晶状体位移对屈光度的影响[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2019,39(4):376-378.[doi:10.13389/j.cnki.rao.2019.0086]
 ZHANG Wan-Qi,CHENG Ying-Lin,HUANG Hui-Chun,et al.Effect of intraocular lens displacement on diopter after cataract surgery in high myopia eyes[J].Recent Advances in Ophthalmology,2019,39(4):376-378.[doi:10.13389/j.cnki.rao.2019.0086]
点击复制

高度近视合并白内障患者术后人工晶状体位移对屈光度的影响(/HTML)
分享到:

《开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷》[ISSN:1003-5141/CN:41-1105/R]

卷:
39卷
期数:
2019年4期
页码:
376-378
栏目:
应用研究
出版日期:
2019-04-05

文章信息/Info

Title:
Effect of intraocular lens displacement on diopter after cataract surgery in high myopia eyes
作者:
张婉琪程缨淋黄惠春王耿王振茂
515000 广东省汕头市,汕头大学·香港中文大学联合汕头国际眼科中心
Author(s):
ZHANG Wan-QiCHENG Ying-LinHUANG Hui-ChunWANG GengWANG Zhen-Mao
Joint International Eye Center of Shantou University and the Chinese University of Hong Kong,Shantou 515000,Guangdong Province,China
关键词:
高度近视白内障超声乳化摘出术屈光度有效晶状体位置
Keywords:
high myopiaphacoemulsificationdioptereffective lens position
分类号:
R776.1
DOI:
10.13389/j.cnki.rao.2019.0086
文献标志码:
A
摘要:
目的 探讨高度近视合并白内障患者行超声乳化摘出联合人工晶状体植入术后人工晶状体位移对屈光度的影响。方法 收集2017年6月至2018年1月在我院行白内障超声乳化摘出联合人工晶状体植入术的高度近视合并白内障患者21例27眼,记录术后1 d、1周、1个月的裸眼视力、最佳矫正视力及屈光度,使用IOL Master生物测量仪测量眼轴长度、晶状体厚度及角膜曲率,使用Tomey SS1000眼前节光学相干断层扫描(anterior segment optical coherence tomography,AS-OCT)测量有效晶状体位置,观察术后人工晶状体在囊袋内的位移,并分析其对术后屈光度的影响。结果 高度近视合并白内障患者术后1 d、1周、1个月屈光度分别为(-1.59±1.64)D、(-1.80±1.66)D、(-1.47±1.39)D,术后各时间点屈光度比较差异无统计学意义(F=0.295,P=0.746)。运用Spearman秩相关分析发现,术后屈光度变化与人工晶状体位移呈正相关(r=0.355,P=0.008),且术后1个月绝对屈光度误差与眼轴长度呈正相关(r=0.514,P=0.006),运用Pearson相关分析发现术后1个月绝对屈光度误差与术前角膜曲率及晶状体厚度均无相关性(均为P>0.05)。结论 高度近视合并白内障患者术后人工晶状体位移是术后屈光度变化的主要影响因素。高度近视合并白内障手术患者眼轴越长术后绝对屈光误差越大。
Abstract:
Objective To investigate the effect of intraocular lens displacement on diopter after phacoemulsification and intraocular lens implantation in patients with high myopia.Methods Between June 2017 and January 2018,27 eyes of 21 patients with high myopia and underwent phacoemulsification and intraocular lens implantation were enrolled in our hospital.The uncorrected visual acuity,the best corrected visual acuity and diopter were recorded on day 1,1 week,and 1 month after operation.The axial length,corneal curvature and lens thickness were measured using IOL Master.The effective lens position was measured using Tomey SS1000 Anterior segment OCT,and the displacement of intraocular lens was observed,and the influence of postoperative diopter was analyzed.Results In patients with high myopia and cataract,the average refraction on day 1,1 week,1 month after operation was (-1.59±1.64)D,(-1.80±1.66)D,(-1.47±1.39)D.There was no significant difference in refractive power at the three time-points (F=0.295,P=0.746).The postoperative diopter changes were positively correlated with the intraocular lens displacement via Spearman rank correlation (r=0.355,P=0.008).Absolute refractive error was positively correlated with the axial length (r=0.514,P=0.006) at 1 month after operation using Spearman rank correlation,but was not correlated with corneal curvature and lens thickness by Pearson correlation analysis (both P>0.05).Conclusion The intraocular lens displacement is the main influencing factor of refractive changes.The longer the ocular axis of patients with high myopia following the combined cataract surgery is,the greater the absolute refractive error is.

参考文献/References:

[1] OLSEN T.Sources of error in intraocular lens power calculation[J].J Cataract Refract Surg,1992,18(2):125-129.
[2] TEHRANI M,DICK H B,KRUMMENAUER F,PFIRMANN G,BOYLE T,SROFFEINS B M.Capsule measuring ring to predict capsular bag diameter and follow its course after foldable intraocular lens implantation[J].J Cataract Refract Surg,2003,29(11):2127-2134.
[3] V K S,HONG X J,V M M,M B,TIN A.Progress in anterior chamber angle imaging for glaucoma risk prediction - A review on clinical equipment,practice and research[J].Med Eng Phys,2016,38(12):1383-1391.
[4] PARK T K,CHUNG S K,BAEK N H.Changes in the area of the anterior capsule opening after intraocular lens implantation[J].J Cataract Refract Surg,2002,28(9):1613-1617.
[5] NEJIMA R,MIYAI T,KATAOKA Y,MIYATA K,HONBOU M,TOKUNAGA T,et al.Prospective intrapatient comparison of 6.0-millimeter optic single-piece and 3-piece hydrophobic acrylic foldable intraocular lenses[J].Ophthalmology,2006,113(4):585-590.
[6] EOM Y,KANG S Y,SONG J S,KIM Y Y,KIM H M.Effect of effective lens position on cylinder power of toric intraocular lenses[J].Can J Ophthalmol,2015,50(1):26-32.
[7] WANG J K,CHANG S W.Optical biometry intraocular lens power calculation using different formulas in patients with different axial lengths[J].Int J Ophthalmol,2013,6(2):150-154.
[8] LANGENBUCHER A,EPPIG T,VIESTENZ A,SEITZ B,MULLNER G,SCHONHERR U.Individualization of IOL constants for two hydrophobic intraocular lenses.SRK II,SRK/T,Hoffer-Q,Holladay 1 and Haigis formula[J].Ophthalmologe,2012,109(5):468-473.
[9] KUROSAKA D,KATO K,NAGAMOTO T.Presence of alpha smooth muscle actin in lens epithelial cells of aphakic rabbit eyes[J].Br J Ophthalmol,1996,80(10):110-119.
[10] KHAMBHIPHANT B,LIUMSIRIJARERN C,SAEHOUT P.The effect of Nd:YAG laser treatment of posterior capsule opacification on anterior chamber depth and refraction in pseudophakic eyes[J].Clin Ophthalmol,2015,9(3):1406-1417.
[11] HUANG J,WANG Z,WU Z,LI Z,LAI K,GE J.Comparison of ocular biometry between eyes with chronic primary angle-closure glaucoma and their fellow eyes with primary angle-closure or primary angle-closure suspect[J].J Glaucoma,2015,24(4):323-327.
[12] LIM R,MITCHELL P,CUMMING R G.Refractive associations with cataract:the Blue Mountains Eye Study[J].Invest Ophthalmol Vis Sci,1999,40(12):3021-3026.
[13] KANTHAN G L,MITCHELL P,ROCHTCHINA E,CUMMING R G,WANG J J.Myopia and the long-term incidence of cataract and cataract surgery:the Blue Mountains Eye Study[J].Clin Exp Ophthalmol,2014,42(4):347-353.

相似文献/References:

[1]田磊 万文萃 郭辉 王天云 卢杰 夏昆 金学民 胡正茂.高度近视家系 ZNF644基因突变筛查[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2012,32(5):.
[2]计垣.近视的分子遗传学研究进展[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2012,32(6):.
[3]刘彩娟 谭少健 李霞 唐东永 黄宝宇 梁皓.有晶状体眼虹膜固定型人工晶状体植入术后远期视觉质量[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2012,32(11):.
[4]徐静 李雪.高度近视致病基因的研究新进展[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2012,32(11):.
[5]唐东永 李霞 梁皓 何剑 谭少健.应用超声生物显微镜观察Bigbag人工晶状体在高度近视眼囊袋内的稳定性[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2013,33(6):.
[6]蔡洁 李沁 何剑 赵必诚 邱耀英 谭少健.高度近视LASIK术后双眼调节聚散及近立体视功能的变化[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2013,33(8):.
[7]雷智.高度近视一眼白内障另一眼透明晶状体双眼手术的疗效分析[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2013,33(8):.
[8]杨积文 卜立敏 纪惠芳 苑苗苗 张悦.高度近视儿童配戴硬性透气性角膜接触镜临床观察[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2012,32(2):.
[9]惠玲 张自峰 王雨生 师晓莉.超声乳化术治疗高度近视白内障的临床观察[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2012,32(8):.
[10]王梓 李一壮 李青.不同手术方式对高度近视合并白内障患者黄斑区视网膜厚度及视力的影响[J].开元棋牌电脑_开元棋牌一直在维护_开元棋牌怎么对刷,2012,32(9):.

备注/Memo

备注/Memo:
更新日期/Last Update: 2019-04-15