摘要
目的评估有晶体眼后房型人工晶体(ICL)植入术矫正高度近视后2年视力及稳定性。方法对22例(42眼)高度近视患者行ICL植入术。术前及术后分别检查裸眼视力(UCVA)、最佳矫正视力(BCVA)、屈光度,并进行满意度问卷调查。结果术后1个月、6个月和2年UCVA及BCVA均显著高于术前(P<0.05),但这3个时间点之间无显著差异(P>0.05)。术后残留屈光度(等效球镜)较小,术后2年较1个月和6个月在数值上虽有增加,但无统计学意义(P>0.05)。术后各时间段UCVA≥0.5的眼数比例分别为100%、100%和97.62%;UCVA≥1.0的分别为66.67%,73.81%和71.43%。术后2年时,BCVA同术前相比,只有2眼(4.76%)与术前相同,14眼(33.33%)较术前提高1排,17眼(40.48%)较术前提高2排,有9眼(21.43%)较术前提高了3排。术后2年患者满意度达100%。结论 ICL植入术术后远期视力稳定性好,患者满意度高,建议在高度或超高度近视患者中推广应用。
Objective To evaluate the visual outcome and stability in 2 years after the implantation of a implantable contact lens（ ICL） in correcting high myopia. Methods 42 eyes with high myopia of 22 patients underwent ICL implantation; UCVA,BCVA and refraction before and after operation were examined,respectively,and questionnaire on satisfaction was performed. Results UCVA and BCVA at the time point of 1 month,6 months and 2 years after operation were much superior to those before operation（ P 〈 0. 05）,while there existed no obvious difference among the 3 time points（ P 〉 0. 05）; the refraction at the 3 time points after operation were not significant different（ P 〉0. 05）; at the time point of 2 years after ICL implantation,2 eyes（ 4. 76%） showed no changes in BCVA,14eyes（ 33. 33%） gained 1 line,17 eyes（ 40. 48%） gained 2 lines,9 eyes（ 21. 43%） gained 3 lines,and the satisfaction of all the patients were 100%. Conclusions ICL implantation is of good long-term visual outcome and stability as well as high rate of satisfaction in patients; it is worthy of wide application in patients with high or super-high myopia.
出处
《西南国防医药》
CAS
2014年第8期856-858,共3页
Medical Journal of National Defending Forces in Southwest China
