摘要
目的:观察硬核白内障患者小切口手法娩核(非超声乳化)术改善视力、角膜散光度及生活质量的优越性。方法:前瞻性队列研究。余姚市妇幼保健院2014年1月至2019年1月硬核白内障440例(440眼)随机分为小切口手法娩核手术组(手法组,198例)及超声乳化手术组(超乳组,242例)。术后随访3个月。结果:术后1个月,手法组并发症发生率低于超乳组(P=0.028)。术后3个月,两组患者裸眼视力差异无统计学意义(P=0.776,0.712,0.810)。手法组角膜散光度低于超乳组(P=0.000)。总体健康状况、远距离工作、眼痛、社交功能、社会角色限制、独立性及精神健康问卷评分两组间差异均无统计学意义(P=0.230,0.601,0.259,0.296,0.544,0.492,0.547);患者总体视觉、近距离工作、色彩视觉、周边视觉评分手法组高于超乳组(P=0.000)。结论:硬核白内障小切口手法白内障手术除改善术后视力外,还可减少角膜散光度,降低并发症发生率,提升患者视觉相关生活质量。
Objective To observe the visual acuity,corneal astigmatism and quality of life of patients with hard nucleus cataract after small incision manual nuclear extraction(non-phacoemulsification).Methods Prospective cohort study.Total of 440 eyes of 440 cases with hard nucleus cataract from Jan.2014 to Jan.2019 in Yuyao Maternal and Child Health Hospital were randomly divided into two groups.There were 198 cases in small incision manual nuclear extraction group(manual group)and 242 cases in phacoemulsification group(phaco group).Follow-up time was 3 months.Results At 1 month after operation,the complication rate in the manual group was lower than that in the phaco group(P=0.028).At 3 months after operation,there was no significant difference in distribution of uncorrected visual acuity between the two groups(P=0.776,0.712,0.810).The corneal astigmatism of the manual group was lower than that of the phaco group(P=0.000).There was no significant difference in general health status,far work,ophthalmodynia,social function,social role limitation,independence,or mental health questionnaire score between the two groups(P=0.230,0.601,0.259,0.296,0.544,0.492,0.547).The score of overall vision,near work,color vision and peripheral vision in the manual group were higher than those of the phaco group(P=0.000).Conclusion Small incision manual cataract surgery for the treatment of hard nucleus cataract can not only improve the visual acuity,but also reduce corneal astigmatism and the incidence of complications,and improve the visual related quality of life of patients.
作者
魏雨丰
李翔
张锦
Wei Yufeng;Li Xiang;Zhang Jin(Department of Ophthalmology,Yuyao Maternal and Child Health Hospital,Zhejiang 315400,China)
出处
《中华眼外伤职业眼病杂志》
2020年第2期122-126,共5页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
白内障
硬核
娩核
手法
非超声乳化术
小切口
超声乳化术
生活质量
Cataract,hard nucleus
Delivery,nucleus,manual,non-phacoemulsification,small incision
Phacoemulsification
Quality of life
