摘要
目的 探讨合并角膜散光的白内障患者未选择Toric复曲面人工晶状体（intraoculalens,IOL）的原因.方法 对手术治疗的合并角膜散关的老年性广白内障患者120例进行问卷调查,内容包括医学相关因素、经济因素、社会及个人心理因素三方面,了解患者未选择Toric IOL的原因.结果 未选择Toric IOL的原因中医学相关因素占41.18％ （126/306）；经济因素占21.57％ （66/306）；社会及个人心理因素与37.25％（114/306）.在各种原因中,位于前三位的依次为认为散光不会影响术后视觉质量25.49％ （78/306）；经济困难21.57％ （66/306）;白内障手术是复明,能看到即可19.61％（60/306）.愿意术后配戴散光眼镜,年龄,学历及收入水平等对患者未选择Toric IOL均有影响.结论 在白内障患者中加强科普知识宣传,加强屈光知识普及,是引导合并散光的白内障患者正确选择人工晶状体,提高术后视觉质量的重要措施.
Objective To investigate the reasons why cataract patients with corneal astigmatism do not choose Toric IOL. Methods One hundred and twenty cataract patients with corneal astigmatism were investigated with a questionnaire which concerned medical,economic,social,and psychological factors. Results The reasons related to the rejection of Toric IOL were medical factors 41.18% （126/306）,economic factors 21.57% （66/306）,social and psychological factors 37.25% （114/306）.Among the factors,three major reasons were：‘astigmatism doing no matter with visual quality ＇ （25.49% （78/306））, ‘economic difficulty＇ （21.57% （66/306））, ‘vision recovery being enough＇（19.61% （60/306））.Accepting of post-operative glasses,age,degree of education,income also affected the patients＇ selection. Conclusions The education of knowledge about cataract and refraction can play a role in inducement of Toric IOL in patients with corneal astigmatism.
出处
《中国实用眼科杂志》
CSCD
北大核心
2012年第2期223-226,共4页
Chinese Journal of Practical Ophthalmology
