摘要
目的探讨超声乳化白内障吸除联合人工晶状体植入术后眼内生物测量参数变化及人工晶状体类型的选择方法。方法收集2016年2月至2018年2月在内蒙古自治区包头市中心医院眼科就诊且接受超声乳化白内障吸除联合人工晶状体植入术治疗的患者60例(60只眼)进行研究。其中,男性33例(33只眼),女性27例(27只眼)。年龄42～78岁,平均(60.8±10.2)岁。依据选用的人工晶状体类型,将全部患者分为Bigbag人工晶状体组和Re STOR人工晶状体组两组。检查患者手术前后的裸眼视力、最佳矫正视力、晶状体后囊膜至视网膜的距离、眼轴长度、前房深度及眼压变化,采用均数±标准差(x珋±s)表示。Bigbag人工晶状体组和Re STOR人工晶状体组的组间比较采用t检验,组内比较采用配对t检验。结果两组年龄、性别、发病类型、晶状体核硬度及合并症,经统计学分析,差异均无统计学意义(t=1.89,χ2=1.32,0.86,0.76,0.45; P> 0.05)。治疗前两组患者裸眼视力、最佳矫正视力、晶状体后囊膜至视网膜的距离、眼轴长度及眼压的比较,差异无统计学意义(t=0.683,0.432,0.963,0.862,0.634; P>0.05)。治疗后两组患者眼压之间、眼压和两组间眼压比较,差异无统计学意义(t=0.031,0.079,0.091,0.29; P>0.05)。治疗前后两组患者裸眼视力的比较,治疗后比治疗前有显著提高,差异有统计学意义(t=21.779,13.326; P<0.05)。治疗后,Bigbag人工晶状体组患者的裸眼视力明显高于Re STOR人工晶状体组,差异有统计学意义(t=5.136,P<0.05)。治疗后与治疗前两组患者最佳矫正视力的比较,治疗后比治疗前有显著提高,差异有统计学意义(t=13.689,9.683; P<0.05)。治疗后Bigbag人工晶状体组患者的最佳矫正视力明显高于Re STOR人工晶状体组,差异有统计学意义(t=3.679,P<0.05)。治疗后与治疗前两组患者晶状体后囊膜至视网膜距离的比较,治疗后比治疗前有显著增加,差异有统计�
Objective To investigate the changes of intraocular biometrics and the selection ofintraocular lens types after phacoemulsification and intraocular lens implantation. Methods A total of 60 cases(60 eyes) who received phacoemulsification and intraocular lens implantation from February 2016 toFebruary 2018 in the Ophthalmology Department of Baotou Central Hospital of Inner Mongolia AutonomousRegion were studied. There were 33 males(33 eyes) and 27 females(27 eyes). The age ranged from 42 to78 years,with an average of(60.8± 10.2) years. According to the type of intraocular lens selected duringsurgery,all the cases included in this study were divided into two groups: Bigbag intraocular lens group andRe STOR intraocular lens group. The visual acuity,the best corrected visual acuity,the distance fromposterior capsule to retina,the length of eye axis,the depth of anterior chamber and intraocular pressurewere examined before and after operation. Use(x珋±s) to express. Bigbag intraocular lens group and Re STORintraocular lens group were compared by t test and paired t test. Results There were no significantdifferences in age,sex,type of onset,lens nucleus hardness and complications between the two groups(t =1.89,χ2= 1. 32,0. 86,0. 76,0. 45; P > 0. 05). There was no significant difference in naked vision,bestcorrected vision,distance from posterior capsule to retina,axial length and intraocular pressure between thetwo groups before treatment(t = 0.683,0.432,0.963,0.862,0.634; P> 0.05). There was no significantdifference in intraocular pressure between the two groups(t = 0.031,0.079,0.091,0.29; P> 0.05). Aftertreatment,the naked eye vision of the two groups was significantly improved compared with that beforetreatment(t = 21.779,13.326; P< 0.05). After treatment,the naked eye vision of Bigbag intraocular lensgroup was significantly higher than that of Re STOR intraocular lens group(t = 5. 136,P < 0.05). The bestcorrected visual acuity of the two groups after treatment was significantly higher than that before treatment(
出处
《中华眼科医学杂志（电子版）》
2018年第5期229-234,共6页
Chinese Journal of Ophthalmologic Medicine(Electronic Edition)
基金
内蒙古自治区自然科学基金(2013MS1158)
