摘要
目的比较三种不同术式矫正白内障合并角膜散光的临床疗效。方法将2020年1月至2020年12月就诊于我院的老年性白内障合并散光(散光≥1.50 D)患者分为3组,均行白内障超声乳化术,其中联合Toric人工晶体植入术Toric组25例(25眼),透明角膜松解切开术CRIS组25例(25眼)和行陡峭轴透明角膜主切口组25例(25眼)。结果 (1)三组总散光量在术后均显著减少(P<0.01)。(2)Toric组角膜散光在术后与术前相比差异无统计学意义(P>0.05)。CRIS组和陡峭轴切口组术后3个月角膜散光与术前相比均有明显差异(P<0.01)。Toric人工晶体术后1月与术后3月之间的晶体旋转度无显著(P>0.05)。(3)三组术后3个月UCVA、BCVA较术前比均显著提高(P<0.05),三组术后3个月的BCVA无明显差异(P>0.05)。结论三种术式均是老年性白内障合并角膜散光的安全有效方法,且超声乳化摘除联合Toric IOL植入术的疗效最优。
Objective To compare the clinical efficacy of three different surgical methods in correcting cataract combined with corneal astigmatism. Methods Patients with senile cataract complicated with astigmatism(astigmatism ≥1.50 D) admitted to our hospital from January 2020 to December 2020 were divided into 3 groups, which underwent phacoemulsification, including Toric intraocular lens implantation(Toric group) 25 cases(25 eyes), clear corneal lysis(CRIS group) 25 cases(25 eyes), and steep-axis clear corneal incision(25 eyes) group 25 cases(25 eyes). Results(1)The amount of astigmatism in three groups decreased significantly after operation(P<0.01).(2) There was no significant difference in corneal astigmatism between the Toric group after surgery and before surgery(P> 0.05).There were significant differences in the corneal astigmatism 3 months after operation between the CRIS group and the steep axis incision group(P<0.01). There was no significant difference in the rotation between 1 month and 3 months after surgery(P>0.05).(3) UCVA and BCVA at 3 months postoperatively were significantly increased in the three groups(P<0.05), but BCVA at 3 months postoperatively was not significantly different in the three groups(P>0.05). Conclusion All the three methods are safe and effective for senile cataract with corneal astigmatism, and phacoemulsification combined with Toric IOL implantation has the best effect.
作者
郝泽宇
王剑锋
蔡金彪
朱梦云
崔双慧
HAO Ze-yu;WANG Jian-feng;CAI Jin-biao;ZHU Meng-yun;CUI Shuang-hui(Bengbu Medical College,Bengbu,Anhui 233000)
出处
《智慧健康》
2021年第17期77-79,83,共4页
Smart Healthcare
基金
蚌埠医学院研究生科研创新计划项目(No.Byycx1973)。
